MR. KEVIN THOMAS KAVANAGH (NPI# 1558322503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558322503 |
Entity Type | Individual |
Full Name | MR. KEVIN THOMAS KAVANAGH |
Credential | MD |
Practice Address |
402 Bogle St Ste 310 Somerset KY 42503 |
Mailing Address |
402 Bogle St Ste 3 Somerset KY 42503 |
Practice Telephone | 6066797426 |
Practice Fax Number | 6066797745 |
Mailing Telephone | 6066797426 |
Mailing Fax Number | 6066797745 |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 28780 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64287808 | 05 | |
KY | ANTHEM BCBS | 000000049894 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215559042 | Kevin Kavanagh | Pharmacist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-14 |
Street Address |
402 BOGLE ST STE 310 |
City | SOMERSET |
State | KY |
Zip Code | 42503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932192028 | Donna Sue Nall | Obstetrics & Gynecology | 402 Bogle St, Suite #1, Somerset, KY 42503-2870 | 2005-08-24 |
1487079380 | Womens Care of Somerset Corp | Specialist | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2014-02-28 |
1679861314 | Womens Care of Somerset Corp | Obstetrics & Gynecology | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2011-07-15 |
1861536781 | Donna S. Nall, Md, Psc | Obstetrics & Gynecology | 402 Bogle St, Ste #1, Somerset, KY 42503-2870 | 2007-02-16 |
1366539223 | Eadens-grimball Internal Medicine Associates | Nurse Practitioner | 402 Bogle St, Ste 3, Somerset, KY 42503-2870 | 2006-10-10 |
1497840680 | Tara R Horn | Obstetrics & Gynecology | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2006-10-04 |
1982703617 | Southeast Kentucky Clinic | Specialist | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2006-09-21 |
1699878199 | Somerset Cardiology | Nurse Practitioner | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2006-09-07 |
1265546139 | Somerset Cardiology | Specialist | 402 Bogle St, Suite 2, Somerset, KY 42503-2870 | 2006-08-18 |
1144211541 | Edward Allan Grimball | Emergency Medicine | 402 Bogle St, Ste 3, Somerset, KY 42503-2870 | 2005-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
1487663944 | Robert A. Frankenthaler | Otolaryngology | 651 S Center Ave Ste 201, Somerset, PA 15501-2811 | 2006-08-05 |
1336155944 | Randall Elliott Dalton | Otolaryngology | 110 Hardin Lane, Suite 10, Somerset, KY 42503-3818 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
1386057818 | Adiavni LLC | Otolaryngology | 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 | 2014-06-02 |
1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
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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.