LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC (NPI# 1124441274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124441274 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC |
| Other Organization Name | LAKE CUMBERLAND HEMATOLOGY & ONCOLOGY CENTER |
| Practice Address |
401 Bogle St Suite 101 Somerset KY 42503-3823 |
| Mailing Address |
Po Box 719 Somerset KY 42502-0719 |
| Practice Telephone | 6066760275 |
| Practice Fax Number | 6066760295 |
| Mailing Telephone | 6066760275 |
| Mailing Fax Number | 6066760295 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Hematology & Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 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 |
| 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 |
401 BOGLE ST SUITE 101 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491508 | Cyril George Kohrman | Urology | 401 Bogle St, Suite 103, Somerset, KY 42503-2850 | 2005-07-15 |
| 1770080913 | Ashley Hampton Ping | Counselor | 401 Bogle St, Somerset, KY 42503-3823 | 2018-04-12 |
| 1588077986 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
| 1679986079 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
| 1235550914 | Brittany Smith | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-23 |
| 1518388321 | Terry Nelson | Social Worker | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1447671284 | Angela Tucker | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1194146936 | Kelly Cooper | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1992126700 | Kesha Mcclure-hunley | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1265853147 | Andrea Thurman | Social Worker | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-19 |
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|---|---|---|---|---|
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1659383669 | Yumi Kim | Internal Medicine | 107 Cedar Grove Ln, Suite 101, Somerset, NJ 08873-4719 | 2006-08-12 |
| 1548266844 | Bachar Kassem | Internal Medicine | 95 Bogle Office Park Dr, Somerset, KY 42503-2810 | 2005-06-22 |
| 1558586677 | Lucianna Dimeglio | Internal Medicine | 75 Veronica Avenue, Suite 201, Somerset, NJ 08873 | 2007-04-16 |
| 1487776373 | Sameer P Desai | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2007-04-04 |
| 1245289859 | Hematology & Oncology Center, Pllc | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-2849 | 2006-05-09 |
| 1851373096 | N Mullai | Internal Medicine | 401 Bogle St, Ste 101, Somerset, KY 42503-2849 | 2005-11-15 |
| 1801887286 | Robert P Fein | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| 1063403509 | Craig Lampert | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| 1972594414 | Marcus Peter Porcelli | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| 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.