LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC (NPI# 1811356892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811356892 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC |
| Other Organization Name | LAKE CUMBERLAND ORTHOPEDICS |
| Practice Address |
27 Imaging Dr Suite B Somerset KY 42503 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 6066797464 |
| Practice Fax Number | 6066788586 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | KATHY TEAGUE (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Orthopedics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Oxford Way Ste B, Somerset, KY 425032813 | 6064254298 | 6064254299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982073813 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 30 Medpark Square, Suite 1, Somerset, KY 42503-1709 | 2015-09-22 |
| 1164832531 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 72 Joe T Petty Dr, Russell Springs, KY 42642-8533 | 2014-05-06 |
| 1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
| 1538594668 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 349 Bogle St, Suite A, Somerset, KY 42503-2895 | 2013-09-09 |
| 1730489840 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 305 Langdon Street, Suite P, Somerset, KY 42503 | 2010-10-25 |
| 1841424611 | Lake Cumberland Physician Practices, LLC | Surgery | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2009-05-08 |
| 1790924785 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 143a Bogle Office Park Dr, Somerset, KY 42503-2810 | 2009-02-13 |
| 1053550046 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-02-13 |
| 1285832808 | Lake Cumberland Physician Practices, LLC | General Practice | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2007-07-05 |
| Street Address |
27 IMAGING DR SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| 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 |
| 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 |
| 1962791426 | Family Choice Home Care | Assisted Living Facility | 120 Bright Leaf Dr., Somerset, KY 42503 | 2011-04-05 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403146 | Thomas John Carroll | Orthopaedic Surgery | 224 Donald Ave, Somerset, MA 02726-5411 | 2020-03-25 |
| 1073034385 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste B, Somerset, KY 42503-3428 | 2017-06-28 |
| 1134213960 | Daniel R Yanicko Jr Md Pa | Orthopaedic Surgery | 465 Pine St, Somerset, KY 42503-4310 | 2006-10-03 |
| 1174518930 | John Adam Macphail | Orthopaedic Surgery | 126 E Church St Ste 2100, Somerset, PA 15501-2271 | 2005-09-16 |
| 1871590240 | Somerset Health Services, Inc. | Orthopaedic Surgery | 126 E Church Street, Suite 2100, Somerset, PA 15501-7019 | 2005-06-30 |
| 1861497257 | Charles J Gatt Jr. | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2005-06-14 |
| 1720557432 | Orthopaedics New Jersey | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2018-11-26 |
| 1831610138 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste A, Somerset, KY 42503-3428 | 2017-06-28 |
| 1871804211 | William A Baione | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2010-06-30 |
| 1093901100 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 117 Tradepark Dr, Somerset, KY 42503 | 2007-09-21 |
| 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.