LAKE CUMBERLAND REGIONAL HOSPITAL LLC


Address: 305 Langdon St, Somerset, KY 42503-2750
Phone: 6066797441

LAKE CUMBERLAND REGIONAL HOSPITAL LLC (NPI# 1952449746) 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) 1952449746
Entity Type Organization
Organization Name LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Other Organization Name LAKE CUMBERLAND REGIONAL HOSPITAL
Practice Address 305 Langdon St
Somerset
KY 42503-2750
Mailing Address 103 Powell Ct
Suite 200
Brentwood
TN 37027-5079
Practice Telephone 6066797441
Enumeration Date 2007-02-02
Last Update Date 2020-08-22
Authorized Official Name WILLIAM M. GRACEY (CHIEF OPERATING OFFICER)
Authorized Official Telephone 6153728500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
X 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
Allopathic & Osteopathic Physicians
X 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
X 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
X 208000000X Pediatrics Allopathic & Osteopathic Physicians
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
X 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 65938151 05

Other Provider/Organization Names

Other Name Type Code
Lake Cumberland Regional Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619038247 Lake Cumberland Regional Hospital LLC General Acute Care Hospital 305 Langdon Street, Somerset, KY 42502 2006-12-13
1093092744 Lake Cumberland Regional Hospital LLC Nurse Practitioner 353 Bogle St, Suite A, Somerset, KY 42503-2888 2011-11-09
1073704789 Lake Cumberland Regional Hospital LLC Internal Medicine 350 Hospital Way, Suite 250, Somerset, KY 42503-2872 2007-08-07
1215070164 Lake Cumberland Regional Hospital LLC Family Medicine 305 Langdon St, Somerset, KY 42503-2750 2007-02-14
1023155462 Lake Cumberland Regional Hospital LLC Clinic/Center 305 Langdon St, Somerset, KY 42503-2750 2007-02-01
1629130562 Lake Cumberland Regional Hospital LLC Skilled Nursing Facility 305 Langdon St, Somerset, KY 42503-2750 2006-12-15
1437210069 Lake Cumberland Regional Hospital LLC Psychiatric Unit 305 Langdon St, Somerset, KY 42503-2750 2006-12-13
1346301975 Lake Cumberland Regional Hospital LLC Rehabilitation Unit 305 Langdon St, Somerset, KY 42503-2750 2006-12-13
1407925258 Lake Cumberland Regional Hospital LLC Hospitalist 305 Langdon St, Somerset, KY 42503-2750 2006-11-07

Office Location

Street Address 305 LANGDON ST
City SOMERSET
State KY
Zip Code 42503-2750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889144 David Wayne Flynn Family Medicine 305 Langdon St, Somerset, KY 42503-2750 2005-05-31
1225656424 Katelyn Sandell Physician Assistant 305 Langdon St, Somerset, KY 42503-2750 2020-07-14
1508487091 Xaverie Lene Benedict Family Medicine 305 Langdon St, Somerset, KY 42503-2750 2020-05-06
1467073445 Rachel West Pharmacist 305 Langdon St, Somerset, KY 42503-2750 2020-05-01
1245859123 Brandon Robert Thomas Student in an Organized Health Care Education/Training Program 305 Langdon St, Somerset, KY 42503-2750 2020-04-10
1891323275 Chase Aaron, Scott Noel Student in an Organized Health Care Education/Training Program 305 Langdon St, Somerset, KY 42503-2750 2020-03-31
1609403930 Gurpreet Kaur Student in an Organized Health Care Education/Training Program 305 Langdon St, Somerset, KY 42503-2750 2020-03-25
1851928667 Alvina Yvette Evans Nurse Anesthetist, Certified Registered 305 Langdon St, Somerset, KY 42503-2750 2020-03-24
1972130540 Kylie Shea Rice Student in an Organized Health Care Education/Training Program 305 Langdon St, Somerset, KY 42503-2750 2020-03-24
1124655626 Mary M Nguy Student in an Organized Health Care Education/Training Program 305 Langdon St, Somerset, KY 42503-2750 2020-03-24
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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 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063643856 Jacob Wayne Shipley Anesthesiology 126 E Church St Ste 2400, Somerset, PA 15501 2009-07-28
1285834895 Manan Patel Anesthesiology 33 Clyde Rd Ste 105, Somerset, NJ 08873-5032 2007-07-21
1023110269 F. Scott Sherman Anesthesiology 419 Georgian Pl, Somerset, PA 15501-1612 2006-09-01
1679511786 Sean M. Rogers Anesthesiology 120 Country Lake Dr, Somerset, KY 42503-5858 2006-06-02
1780649723 Camilo Cabanero Anesthesiology 285 Davidson Avenue, Acnj - Suite 204, Somerset, NJ 08876 2006-04-20
1588643977 Francine Hoh Anesthesiology 1 Independence Ct, Somerset, NJ 08873-7422 2006-01-13
1497732879 Michael B Rodricks Anesthesiology 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 2005-12-28
1548255193 William K. Daniels Jr. Anesthesiology 30 Medpark Dr, Somerset, KY 42503-2797 2005-09-20
1922621176 Upmc Somerset Anesthesiology 225 S Center Ave, Somerset, PA 15501-2033 2020-05-22
1588084974 Bharath Kumar Mittapalli Anesthesiology 285 Davidson Ave Ste 204, Somerset, NJ 08873-4153 2014-04-23
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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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