DR. JUSTIN MICHAEL KANOFF (NPI# 1326205048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326205048 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MICHAEL KANOFF |
| Credential | M.D. |
| Practice Address |
1400 Dry Creek Dr Longmont CO 80503-6499 |
| Mailing Address |
243 Charles St Boston MA 02114 |
| Practice Telephone | 3037723300 |
| Practice Fax Number | 3036823380 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 231866 | MA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
53516 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1400 DRY CREEK DR |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-6499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253853 | Robert Krone | Optometrist | 1400 Dry Creek Dr, Longmont, CO 80503 | 2006-04-10 |
| 1063859817 | Aimee Morris Verner | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503 | 2013-06-03 |
| 1366735243 | Matthew William Manry | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503 | 2011-05-25 |
| 1780908608 | Anjali Bipin Sheth | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2010-03-22 |
| 1134318421 | Eye Care Center of Northern Colorado | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2007-10-23 |
| 1518189869 | Elisha P. Tilton | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2007-05-03 |
| 1457572695 | Mansi B Parikh | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2007-05-02 |
| 1740314483 | Eye Care Center of Northern Colorado, PC | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6505 | 2007-03-15 |
| 1144307901 | Irene Olijnyk | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2006-11-01 |
| 1104902683 | Micah W Rothstein | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6505 | 2006-10-27 |
| Find all providers in the same location | ||||
| 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 | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366735243 | Matthew William Manry | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740675636 | Michael Huvard | Ophthalmology | 1675 Aurora Ct # Msf731, Aurora, CO 80045-2517 | 2015-03-30 |
| 1801158548 | Ross B Chod | Ophthalmology | 1444 S Potomac St Ste 175, Aurora, CO 80012 | 2012-06-08 |
| 1386257475 | Southwest Eye Consultants Pllc | Ophthalmology | 270 E 8th Ave Ste N-101, Durango, CO 81301-5708 | 2020-08-28 |
| 1316572803 | Colorado Retina Associates, PC | Ophthalmology | 360 Peak One Dr, Ste 300, Frisco, CO 80443-9900 | 2020-03-05 |
| 1154955896 | Colorado Retina Associates, PC | Ophthalmology | 400 Indiana St Ste 310, Golden, CO 80401-5033 | 2020-03-02 |
| 1821622564 | Colorado Retina Associates, PC | Ophthalmology | 11960 Lioness Way Ste 290, Parker, CO 80134-5640 | 2020-03-02 |
| 1497389399 | Colorado Retina Associates, PC | Ophthalmology | 850 Englewood Pkwy Ste 200, Englewood, CO 80110-7399 | 2020-02-28 |
| 1942834841 | Colorado Retina Associates, PC | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2020-02-28 |
| 1962995787 | Southwest Retina Research Center, LLC | Ophthalmology | 270 E 8th Ave Ste N-101, Durango, CO 81301-5708 | 2018-06-07 |
| 1154783447 | Talisa De Carlo | Ophthalmology | 1675 Aurora Ct Ste F731, Aurora, CO 80045-2592 | 2016-03-24 |
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| 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.