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Deactivated NPI 1376571638 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth J Cavanaugh , MD

Orthopaedic Surgery • Longmont, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Cavanaugh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006
NPI Deactivation Date December 25, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Cavanaugh, MD was a registered Orthopaedic Surgery practicing in Longmont, CO. Throughout an active medical career spanning 19 years, Dr. Cavanaugh provided care at the practice location at 1551 PROFESSIONAL LN until profile deactivation on 2025-12-25.

Practice Location & Contact Primary Location

Practice Address

1551 Professional Ln
Suite 200

Longmont, CO 805016972

Telephone 3037721600
Fax 3037729317
Associated Practice Facility / Clinic
🏢 Physiotherapy Associates Inc Facility NPI 1750337358

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Longmont, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Longmont, CO (505 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CO 16429

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003067448

Certified Nurse Practitioner, APRNNP, Family Nurse Practitioner

Dr. Domonic Torri , DO

Family Medicine - Sports Medicine

NPI 1013536895

Doctor of Osteopathic Medicine (D.O.)

Carter Smith , PA-C

Physician Assistant

NPI 1013887694

Physician Assistant (Certified)

Dr. Peter Wood , MD

Orthopaedic Surgery - Sports Medicine

NPI 1013915032

Doctor of Medicine (M.D.)

Dr. Tyler Edmond , MD

Orthopaedic Surgery

NPI 1033746524

Doctor of Medicine (M.D.)

Ryan Ritchhart , PA-C

Physician Assistant

NPI 1053314310

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 25, 2025

Record deactivated on December 25, 2025

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 805016972 (Tel: 3037721600)

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Updated Business Mailing Address July 09, 2007

Registered at 1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 805016972 (Tel: 3037721600)

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Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH CAVANAUGH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Orthopaedic Surgery (License #16429 in CO)

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Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376571638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: July 09, 2007
Deactivation Date: December 25, 2025

Mailing Address

1551 Professional Ln, Suite 200

Longmont, CO 805016972

Phone: 3037721600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.