DR. KEVIN CLIFFORD CAVANAUGH (NPI# 1275539843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275539843 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CLIFFORD CAVANAUGH |
| Credential | MD |
| Practice Address |
1325 Dry Creek Dr Suite 103 Longmont CO 80503-7731 |
| Practice Telephone | 7204949111 |
| Practice Fax Number | 7204949555 |
| Mailing Telephone | 7204949111 |
| Mailing Fax Number | 7204949555 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
39322 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 94320381 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184938284 | Kevin Patrick Cavanaugh | Dermatology | 755 N Wells, Suite 201, Chicago, IL 60654 | 2010-07-30 |
| 1508312505 | Kevin Cavanaugh | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2016-08-30 |
| Street Address |
1325 DRY CREEK DR SUITE 103 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-7731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073878484 | Longmont Sleep Diagnostics Inc | Clinic/Center | 1325 Dry Creek Dr, Suite 303, Longmont, CO 80503-7731 | 2012-07-11 |
| 1437456076 | Phyhealth Sleep Care Corporation | Clinic/Center | 1325 Dry Creek Dr, Suite #303, Longmont, CO 80503-7731 | 2011-02-17 |
| 1477856235 | Phyhealth Sleep Care Corporation | Clinical Medical Laboratory | 1325 Dry Creek Dr, Suite 303, Longmont, CO 80503-7731 | 2010-12-15 |
| 1306097779 | Connelly Chiropractic, P.C. | Chiropractor | 1325 Dry Creek Dr, 204, Longmont, CO 80503-7731 | 2008-10-03 |
| 1013114230 | Front Range Otolaryngology & Facial Plastic Surgery PC | Specialist | 1325 Dry Creek Dr, Suite 103, Longmont, CO 80503-7731 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107373 | Rtfprs, Pllc | Otolaryngology | 3150 E 3rd Ave Ste 200, Denver, CO 80206-5246 | 2019-07-29 |
| 1326496068 | Victoria King | Otolaryngology | 113 Latigo Ln Ste D, Canon City, CO 81212-8115 | 2016-06-02 |
| 1578976627 | Jessica Lynn Specht | Otolaryngology | 9960 Sky Ridge Ave, Lone Tree, CO 80124-5644 | 2014-06-06 |
| 1508982216 | Ear Nose & Throat Associates of Northern Colorado PC | Otolaryngology | 2121 E Harmony Rd Suite 350, Fort Collins, CO 80528-3404 | 2007-03-22 |
| 1558374926 | Victoria Van Beuren King | Otolaryngology | 113 Latigo Ln, Canon City, CO 81212-8114 | 2006-08-15 |
| 1942273479 | Maria Sherrilyn Dellota | Otolaryngology | 1006 Centre Ave, Fort Collins, CO 80526-1849 | 2006-02-07 |
| 1932101490 | Mario J Imola | Otolaryngology | 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 | 2005-08-15 |
| 1811331721 | Richard W. Thompson | Otolaryngology | 9399 Crown Crest Blvd, Parker, CO 80138-8506 | 2013-04-22 |
| 1093030926 | Catherine Weng | Otolaryngology | 403 Summit Blvd, Ste 204, Broomfield, CO 80021-8252 | 2010-04-04 |
| 1629306006 | Edmon Khoury | Otolaryngology | 9777 S Yosemite St, Suite 200, Lone Tree, CO 80124-3191 | 2009-11-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEVIN CLIFFORD CAVANAUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.