CUMBERLAND FOOT AND ANKLE CENTERS (NPI# 1073034385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073034385 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FOOT AND ANKLE CENTERS |
| Other Organization Name | PRECISION BRACE |
| Practice Address |
115 Tradepark Dr Ste B Somerset KY 42503-3428 |
| Mailing Address |
117 Tradepark Dr Ste B Somerset KY 42503-3428 |
| Practice Telephone | 6064511048 |
| Practice Fax Number | 6066794626 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | JONATHAN E MOORE (ASSOCIATE PARTNER/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 | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100234690 | 05 | |
| KY | 7100358430 | 05 | |
| KY | 7100207030 | 05 |
| Other Name | Type Code |
|---|---|
| Precision Brace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013417419 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 509 Hampton Way, Richmond, KY 40475-8680 | 2018-02-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 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 |
115 TRADEPARK DR STE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3428 |
| 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 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799888 | Jade Gittens | Podiatrist | 7 Cedar Grove Ln Ste 28, Somerset, NJ 08873-1331 | 2009-06-02 |
| 1255403705 | Richard D. Grebosky D.p.m., P.C. | Podiatrist | 451 Stoystown Rd, Somerset, PA 15501-6927 | 2006-11-13 |
| 1609951482 | Tri County Foot and Ankle Associates Inc | Podiatrist | 301 Dr Mike Clouse Drive, Somerset, OH 43783 | 2006-10-27 |
| 1912960394 | Richard David Grebosky | Podiatrist | 516 Georgian Pl, Somerset, PA 15501-1613 | 2006-04-07 |
| 1982050209 | Suchir Ketan Sheth | Podiatrist | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2016-05-05 |
| 1730533977 | Amanda Megan Kohut | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2016-04-13 |
| 1295072627 | Premier Foot & Ankle Center | Podiatrist | 7 Cedar Grove Ln Ste 28, Suite C, Somerset, NJ 08873-1331 | 2013-01-04 |
| 1205136314 | Shekwonugaza Aboki | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-10-25 |
| 1427369164 | Phillip Wood Hasler | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-06-28 |
| 1629395405 | Jerry Thomas Roberts | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-05-03 |
| 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.