Cumberland Otolaryngology Consultants, PSC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CUMBERLAND OTOLARYNGOLOGY CONSULTANTS, PSC

Practice address

402 Bogle St Ste 3
Somerset, KY 42503-2870

Phone

(606) 679-7426

Fax

(606) 679-7745

NPI assigned

Dec 26, 2006

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin T Kavanagh, M.D.NPI 1558322503

Title

Physician

Phone

(606) 679-7426

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Thomas Kavanagh, MD

  • Otolaryngology Physician
  • Somerset, KY
  • NPI 1558322503
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1598820078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-7426",
            "fax_number": "606-679-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-7426",
            "fax_number": "606-679-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND OTOLARYNGOLOGY CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-679-7426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926917",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901881",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Gastroenterology, P.S.C.
• Cumberland Gastroenterology, PSC
• Cumberland Lung & Sleep Specialists, PSC. (Cumberland, Lung, Asthma & Sleep Specialists)
• Cumberland Medical Laboratories Inc
• Cumberland Nephrology
• Cumberland Pain Management, PLLC
• Cumberland Radiation Oncology, PSC
• Cumberland Surgical Associates
• Cumberlandafz PLLC
• Payton Cundiff

• Otolaryngology Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.