CUMBERLAND FOOT AND ANKLE CENTERS (NPI# 1053819904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053819904 |
Entity Type | Organization |
Organization Name | CUMBERLAND FOOT AND ANKLE CENTERS |
Practice Address |
1850 Westen Street Bowling Green KY 42104 |
Mailing Address |
117 Tradepark Dr Ste B Somerset KY 42503-3428 |
Practice Telephone | 2708463338 |
Practice Fax Number | 2708463318 |
Mailing Telephone | 6066792773 |
Mailing Fax Number | 6066794626 |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |
Authorized Official Name | JONATHAN E MOORE (PRESIDENT/PODIATRIST) |
Authorized Official Telephone | 6066792773 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100234690 | 05 | |
KY | 7100207030 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013417419 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 509 Hampton Way, Richmond, KY 40475-8680 | 2018-02-13 |
1073034385 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste B, Somerset, KY 42503-3428 | 2017-06-28 |
1437679990 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1830 Destiny Ln Ste 110, Bowling Green, KY 42104-1088 | 2017-06-26 |
1912512724 | Cumberland Foot and Ankle Centers | Podiatrist | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2020-09-09 |
1841798741 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 466 Burnley Rd, Scottsville, KY 42164-6355 | 2018-01-25 |
1831610138 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste A, Somerset, KY 42503-3428 | 2017-06-28 |
1477073955 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 511 Middleburg St, Liberty, KY 42539-3009 | 2017-06-26 |
1447770920 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2017-06-26 |
1780104281 | Cumberland Foot and Ankle Centers | Physical Medicine & Rehabilitation | 118 Tradepark Dr Ste B, Somerset, KY 42503-3427 | 2017-06-26 |
Street Address |
1850 WESTEN STREET |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
1386062529 | Roger Gibson | Pharmacist | 1676 Westpark Dr, Bowling Green, KY 42104 | 2014-04-04 |
Find all providers in zip 42104 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043302961 | Sandra Desilvio Witt | Podiatrist | 735 Haskins Rd, Bowling Green, OH 43402-1638 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275691784 | Foot Specialists of Greater Cincinnati | Podiatrist | 300 Main Cross, Warsaw, KY 41095 | 2006-12-05 |
1184782690 | Foot Specialists of Greater Cincinnati | Podiatrist | 238 Barnes Road, St Elizabeth Grant County, Williamstown, KY 41097 | 2006-12-05 |
1730247248 | Foot Specialists of Greater Cincinnati | Podiatrist | 520 Violet Road, Crittenden Medical Office Bldg, Crittenden, KY 41030 | 2006-12-05 |
1396741096 | Brian J Beach | Podiatrist | 106 S Main St, Dry Ridge, KY 41035-9406 | 2005-06-27 |
1700083979 | Michelle Murray, Dpm, Psc | Podiatrist | 1101 Saint Christopher Drive, Suite 355, Ashland, KY 41101-7000 | 2007-06-29 |
1093876021 | Daniel E Whitney Dpm Psc | Podiatrist | 4612 Outer Loop, Louisville, KY 40219-3971 | 2006-12-13 |
1215014303 | Bryant Podiatry Pllc | Podiatrist | 2130 Nicholasville Rd, Suite 1, Lexington, KY 40503-2520 | 2006-11-01 |
1821002353 | David W Robertson | Podiatrist | 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 | 2006-07-28 |
1235152448 | Foot Specialists of Greater Cincinnati | Podiatrist | 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 | 2006-07-26 |
City | BOWLING GREEN |
Zip Code | 42104 |
Please comment or provide details below to improve the information on CUMBERLAND FOOT AND ANKLE CENTERS.
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.