Front Range Otolaryngology & Facial Plastic Surgery PC
NPI 1013114230ActiveOrganization· Specialist· Longmont, CO
Specialist in Longmont, Colorado, registered in NPPES in June 2007. The authorized official on file is Kevin C. Cavanaugh, MD, Owner Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013114230 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | May 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 207YS0123X | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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