CUMBERLAND FOOT AND ANKLE CENTER (NPI# 1760798045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760798045 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FOOT AND ANKLE CENTER |
| Practice Address |
49 Gregory St Monticello KY 42633-2407 |
| Mailing Address |
117 Tradepark Dr Somerset KY 42503-3428 |
| Practice Telephone | 6063430289 |
| Practice Fax Number | 6063430269 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |
| Authorized Official Name | JONATHAN E MOORE (OWNER/PODIATRIST) |
| Authorized Official Telephone | 6066792773 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90005091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1871809087 | Cumberland Foot and Ankle Center | Podiatrist | 479 Whirlaway Dr, Danville, KY 40422-9036 | 2010-08-25 |
| 1790092096 | Cumberland Foot and Ankle Center | Podiatrist | 215 Treuhaft Blvd, Suite 3b, Barbourville, KY 40906-0000 | 2010-09-08 |
| 1508172701 | Cumberland Foot and Ankle Center | Podiatrist | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2010-08-25 |
| 1467768747 | Cumberland Foot and Ankle Center | Podiatrist | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2010-08-25 |
| 1023324399 | Cumberland Foot and Ankle Center | Podiatrist | 929 N Main St, London, KY 40741-1122 | 2010-08-25 |
| 1205142411 | Cumberland Foot and Ankle Center | Podiatrist | 107 Metker Trl, Suite C, Stanford, KY 40484-1049 | 2010-08-25 |
| 1558677765 | Cumberland Foot and Ankle Center | Podiatrist | 723 Burkesville Rd, Albany, KY 42602-1654 | 2010-08-25 |
| 1962718155 | Cumberland Foot and Ankle Center | Podiatrist | 1007 Cumberland Falls Hwy, Corbin, KY 40701-2714 | 2010-08-25 |
| Street Address |
49 GREGORY ST |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1740316124 | Murtuza A. Peerbhai | Podiatrist | 101 W Broadway St, Apartment 311, Monticello, IN 47960-2110 | 2007-02-27 |
| 1457354128 | Bruce Steven Pinker | Podiatrist | 427 Broadway, Ste 2, Monticello, NY 12701-1743 | 2005-05-24 |
| 1033478680 | Lonny Rosenfeld | Podiatrist | 427 Broadway, Ste 2, Monticello, NY 12701-1743 | 2012-05-15 |
| 1356539092 | Family Footcare Group, LLP | Podiatrist | 427 Broadway, Ste 2, Monticello, NY 12701-1742 | 2007-10-09 |
| 1669416574 | Gregg Atlas | Podiatrist | 427 Broadway, Suite 2, Monticello, NY 12701-1742 | 2006-06-15 |
| 1952362865 | Family Footcare Group LLP | Podiatrist | 427 Broadway, Suite #2, Monticello, NY 12701-1742 | 2006-03-30 |
| 1679545040 | Eric Kaplan | Podiatrist | 427 Broadway, Suite 2, Monticello, NY 12701-1742 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1871809087 | Cumberland Foot and Ankle Center | Podiatrist | 479 Whirlaway Dr, Danville, KY 40422-9036 | 2010-08-25 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on CUMBERLAND FOOT AND ANKLE CENTER.
| 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.