LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC


Address: 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454
Phone: 6066780599

LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC (NPI# 1558695262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558695262
Entity Type Organization
Organization Name LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC
Other Organization Name LAKE CUMBERLAND CARDIOLOGY ASSOCIATES
Practice Address 120 Tradepark Dr
Suite B
Somerset
KY 42503-3454
Practice Telephone 6066780599
Practice Fax Number 6066780608
Mailing Telephone 6066780599
Mailing Fax Number 6066780608
Enumeration Date 2009-09-28
Last Update Date 2016-07-27
Authorized Official Name TIM VAUGHN (VICE PRESIDENT)
Authorized Official Telephone 6155651513
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100108260 05

Other Provider/Organization Names

Other Name Type Code
Lake Cumberland Cardiology Associates Doing Business As Name - Organization

Office Location

Street Address 120 TRADEPARK DR
SUITE B
City SOMERSET
State KY
Zip Code 42503-3454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972587251 Mark A Henry Ophthalmology 120 Tradepark Dr, Ste A, Somerset, KY 42503-3454 2005-12-01
1053550046 Lake Cumberland Physician Practices, LLC Physician Assistant 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 2009-02-13
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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689837353 Ola Khraisha Internal Medicine 613 23rd St St 230, Ashland, KY 41101 2008-07-03
1407065279 Medical Center Cardiologists, Psc Internal Medicine 534 Fairway Dr, Brandenburg, KY 40108-1222 2007-05-21
1538100995 Ohio Valley Heartcare Inc Internal Medicine 914 N Elm St, Henderson, KY 42420-2711 2006-06-09
1285622779 Cardiac Care Center of Louisville, Pllc Internal Medicine 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 2005-10-10
1336144401 Christopher Lars Johnsrude Internal Medicine 411 E Chestnut St # 5a, Louisville, KY 40202-1713 2005-06-16
1841763380 Deaconess Specialty Physicians, Inc Internal Medicine 3346 Professional Park, Owensboro, KY 42303-4551 2019-01-08
1124522750 Deaconess Specialty Physicians, Inc Internal Medicine 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 2018-03-20
1114421740 Deaconess Specialty Physicians, Inc Internal Medicine 2200 E Parrish Ave Bldg A, Owensboro, KY 42303 2018-03-20
1053810036 Owensboro Health Medical Group, Inc. Internal Medicine 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 2018-02-06
1639510753 Mohammed Abdul Haseeb Al-yafi I Internal Medicine Uk Gill Heart Institute, 800 Rose St, Lexington, KY 40536-0294 2013-07-17
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Competitor

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City SOMERSET
Zip Code 42503

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Dataset Information

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.

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