Bob S Kanovitz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14160 Issued in KY

Practice address

331 S 3Rd St
Bardstown, KY 40004-1032

Phone

(502) 348-9206

Fax

(502) 348-6485

NPI assigned

May 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Communicare Inc

  • Community/Behavioral Health Agency
  • Springfield, KY
  • NPI 1083751424
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Bardstown, KY
  • NPI 1679610117
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700831617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-766-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041032",
            "telephone_number": "502-348-9206",
            "fax_number": "502-348-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOVITZ",
        "first_name": "BOB",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "14160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11386231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "343023",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000317338",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandye Jones
• Cailan Christopher Jones, DMD
• Christopher M. Jones, D.D.S.
• Timothy A Jones, MD
• Basim Kahleifeh, M.D.
• KB Behavioral LLC
• KD Wheatley LLC (Hurst Discount Drug)
• Amanda Lee Keeling Walton, OTR/L
• Patrick Lee Keesee, D.M.D.
• Olivia F Kelley, M.D.

• Psychiatry Physician in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.