CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE-PODIATRY (NPI# 1730322181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730322181 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE-PODIATRY |
| Practice Address |
160 London Mountain View Dr London KY 40741-6601 |
| Practice Telephone | 6068640770 |
| Practice Fax Number | 6068641461 |
| Mailing Telephone | 6068640770 |
| Mailing Fax Number | 6068641461 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | MR. JEAN M. PAGE' (PRESIDENT OWNER) |
| Authorized Official Telephone | 6068640770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CUMBERLAND ORTHOPAEDICS & SPORTS MEDICINE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00308 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100064080 | 05 |
| Street Address |
160 LONDON MOUNTAIN VIEW DR |
| City | LONDON |
| State | KY |
| Zip Code | 40741-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447680 | Carey W Mckain | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2005-09-14 |
| 1063906675 | David Cody Dugger | Nurse Practitioner | 160 London Mountain View Dr, London, KY 40741 | 2018-06-18 |
| 1396235172 | Carlee Pingleton | Family Medicine | 160 London Mountain View Dr, London, KY 40741-6601 | 2018-05-16 |
| 1821534769 | Angel Patterson | Nurse Practitioner | 160 London Mountain View Dr, London, KY 40741-6601 | 2017-01-17 |
| 1801209069 | Kevin Michael Magone | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-06-05 |
| 1295155927 | Vincent Angelo Depalma | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-04-21 |
| 1891112173 | Kentuckyone Health Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-03-25 |
| 1518380625 | Mark Roark | Nurse Practitioner | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-01-24 |
| 1861834236 | Meredith H Moses | Physician Assistant | 160 London Mountain View Dr, London, KY 40741-6601 | 2013-07-25 |
| 1821352865 | Laura Whitney Burchette | Physician Assistant | 160 London Mountain View Dr, London, KY 40741-6601 | 2012-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932129343 | Richard E Skrip Jr. | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2006-07-20 |
| 1710136817 | Richard Skrip Dpm Inc | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2008-09-12 |
| 1588791719 | Paul Karl Krestik | Podiatrist | 1105 W 5th St, #3, London, KY 40741-1610 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
| 1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
| 1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
| 1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
| 1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
| 1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
| 1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
| 1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
| 1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
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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.