LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC (NPI# 1053550046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053550046 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC |
| Other Organization Name | CARDIOTHORACIC SURGICAL ASSOCIATES OF LAKE CUMBERLAND |
| Practice Address |
120 Tradepark Dr Suite B Somerset KY 42503-3454 |
| Practice Telephone | 6064510300 |
| Practice Fax Number | 6064510595 |
| Mailing Telephone | 6064510300 |
| Mailing Fax Number | 6064510595 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiothoracic Surgical Associates of Lake Cumberland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1982073813 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 30 Medpark Square, Suite 1, Somerset, KY 42503-1709 | 2015-09-22 |
| 1164832531 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 72 Joe T Petty Dr, Russell Springs, KY 42642-8533 | 2014-05-06 |
| 1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
| 1538594668 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 349 Bogle St, Suite A, Somerset, KY 42503-2895 | 2013-09-09 |
| 1730489840 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 305 Langdon Street, Suite P, Somerset, KY 42503 | 2010-10-25 |
| 1841424611 | Lake Cumberland Physician Practices, LLC | Surgery | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2009-05-08 |
| 1790924785 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 143a Bogle Office Park Dr, Somerset, KY 42503-2810 | 2009-02-13 |
| 1285832808 | Lake Cumberland Physician Practices, LLC | General Practice | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2007-07-05 |
| Street Address |
120 TRADEPARK DR SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587251 | Mark A Henry | Ophthalmology | 120 Tradepark Dr, Ste A, Somerset, KY 42503-3454 | 2005-12-01 |
| 1558695262 | Lake Cumberland Cardiology Associates, LLC | Internal Medicine | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-09-28 |
| 1235315755 | Kimberly Meyer | Nurse Practitioner | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2008-01-15 |
| 1285776476 | Southern Kentucky Eye Center Psc | Optometrist | 120 Tradepark Dr, Suite A, Somerset, KY 42503-3454 | 2007-02-13 |
| 1063564011 | Christopher John Frost | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1922150994 | Teresa Jean Bentley | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1477639243 | Dermatology Center of Lake Cumberland, Psc | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2006-10-27 |
| 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 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649313164 | Kentucky Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Hospital Way Ste 220, Somerset, KY 42503-1877 | 2007-02-14 |
| 1083789010 | Jean Philippe Bocage | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35 Clyde Road, Suite #104, Somerset, NJ 08873 | 2006-11-22 |
| 1457506388 | Jamal Fazal Rabbi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 120 Tradepark Dr Ste B, Somerset, KY 42503-3454 | 2008-11-19 |
| 1063602670 | Lake Cumberland Regional Hospital, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Hospital Way, Suite 220, Somerset, KY 42503-2872 | 2007-07-30 |
| 1548389877 | The Cardio-thoracic Surgical Group, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35 Clyde Rd, Suite # 104, Somerset, NJ 08873-5033 | 2007-03-28 |
| 1386719318 | Robert Joseph Caccavale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35 Clyde Road, Suite #104, Somerset, NJ 08873 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982066197 | Rebecca Lee Phillip | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, Dept. of Cardiothoracic Surgery, 740 South Limestone, Suite A301, Lexington, KY 40536 | 2016-03-26 |
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1255586855 | Thomas A. Donohue, Md, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 119 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2008-11-24 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1790888113 | Robert K Salley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd Ste B275, Lexington, KY 40504-1775 | 2006-09-07 |
| 1821004367 | Ronald N Barbie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 East Liberty St, Suite 900, Louisville, KY 40202-1538 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
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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.