LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC. (NPI# 1407993074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407993074 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC. |
| Practice Address |
110 Hardin Ln Suite 9 Somerset KY 42503-3818 |
| Practice Telephone | 6066797317 |
| Practice Fax Number | 6066790139 |
| Mailing Telephone | 6066797317 |
| Mailing Fax Number | 6066790139 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | MRS. BRENDA ROBACK (OFFICE MANAGER) |
| Authorized Official Telephone | 6066797317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
110 HARDIN LN SUITE 9 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527956 | Sanaa Abdel-rahman Mahmoud | Allergy & Immunology | 110 Hardin Ln, Ste 3, Somerset, KY 42503-3818 | 2005-06-09 |
| 1891303368 | 1025 Health, LLC | Nurse Practitioner | 110 Hardin Ln, Somerset, KY 42503-3818 | 2020-07-21 |
| 1568898880 | Megan Weatherford | Psychologist | 110 Hardin Ln, Somerset, KY 42503-3818 | 2013-09-18 |
| 1750678728 | Pulmonary and Sleep Associates LLC | Nurse Practitioner | 110 Hardin Ln, Suite 10, Somerset, KY 42503-3818 | 2011-06-29 |
| 1144358391 | Mountainview Behavioral & Neuroscience Center LLC | Psychiatry & Neurology | 110 Hardin Ln, Suite 1, Somerset, KY 42503-3818 | 2007-03-01 |
| 1902958887 | Susan Ballou Gibson | Dentist | 110 Hardin Ln, Suite 2, Somerset, KY 42503-3818 | 2007-01-18 |
| 1245329069 | Mohammad Afzal | Internal Medicine | 110 Hardin Ln, Suite 2-b, Somerset, KY 42503-3818 | 2006-10-12 |
| 1447349329 | Khalid Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1982793790 | Anjum Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1588760706 | Robina M Bokhari | Psychiatry & Neurology | 110 Hardin Ln, Suite #1, Somerset, KY 42503-3818 | 2006-09-15 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1982966222 | Anna Platovsky | Internal Medicine | 33 Clyde Rd Ste 102, Somerset, NJ 08873 | 2012-06-12 |
| 1093814808 | Todd L Horn | Internal Medicine | 56 Tower Cir, Somerset, KY 42503-3476 | 2006-09-21 |
| 1164463071 | Sudha Nahar | Internal Medicine | 17 Clyde Rd, Suite 101, Somerset, NJ 08873-5041 | 2006-06-10 |
| 1366442097 | Mohammad Javad Saadat | Internal Medicine | 105 W Church St, Suite 1, Somerset, PA 15501-2251 | 2005-07-22 |
| 1629075296 | Samir Issa Cook | Internal Medicine | 56 Tower Circle, Somerset, KY 42503 | 2005-06-28 |
| 1760999395 | Somerset Health Services, Inc. | Internal Medicine | 126 E Church St, Somerset, PA 15501-2271 | 2018-01-04 |
| 1982909040 | William James Ferges | Internal Medicine | 33 Clyde Rd, Suite 102, Somerset, NJ 08873-5032 | 2011-01-21 |
| 1154524478 | Brenda Jean Jobson Do Pllc | Internal Medicine | 298 Bogle St, Suite A, Somerset, KY 42503-2836 | 2007-06-06 |
| 1447349329 | Khalid Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| Find all providers in SOMERSET | ||||
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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.