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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100108260 | 05 |
Other Name | Type Code |
---|---|
Lake Cumberland Cardiology Associates | Doing Business As Name - Organization |
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 |
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 |
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 | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
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. |
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 |
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.