CUMBERLAND FOOT AND ANKLE CENTER (NPI# 1205142411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205142411 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FOOT AND ANKLE CENTER |
| Practice Address |
107 Metker Trl Suite C Stanford KY 40484-1049 |
| Mailing Address |
117 Tradepark Dr Somerset KY 42503-3428 |
| Practice Telephone | 6066792773 |
| Practice Fax Number | 6066794626 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | JONATHAN E MOORE (OWNER/PODIATRIST) |
| Authorized Official Telephone | 6066792773 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90005091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
| 1871809087 | Cumberland Foot and Ankle Center | Podiatrist | 479 Whirlaway Dr, Danville, KY 40422-9036 | 2010-08-25 |
| 1790092096 | Cumberland Foot and Ankle Center | Podiatrist | 215 Treuhaft Blvd, Suite 3b, Barbourville, KY 40906-0000 | 2010-09-08 |
| 1508172701 | Cumberland Foot and Ankle Center | Podiatrist | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2010-08-25 |
| 1467768747 | Cumberland Foot and Ankle Center | Podiatrist | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2010-08-25 |
| 1023324399 | Cumberland Foot and Ankle Center | Podiatrist | 929 N Main St, London, KY 40741-1122 | 2010-08-25 |
| 1558677765 | Cumberland Foot and Ankle Center | Podiatrist | 723 Burkesville Rd, Albany, KY 42602-1654 | 2010-08-25 |
| 1962718155 | Cumberland Foot and Ankle Center | Podiatrist | 1007 Cumberland Falls Hwy, Corbin, KY 40701-2714 | 2010-08-25 |
| Street Address |
107 METKER TRL SUITE C |
| City | STANFORD |
| State | KY |
| Zip Code | 40484-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494045 | Crystal D Brown | Nurse Practitioner | 107 Metker Trl, Ste A, Stanford, KY 40484-1049 | 2005-11-16 |
| 1245783554 | Kristin Johnsen | Nurse Practitioner | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2016-08-03 |
| 1861877326 | William Justin Allen | Nurse Practitioner | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2015-07-27 |
| 1417356700 | Ashley Price | Physician Assistant | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2014-08-22 |
| 1619214913 | Melissa F Day | Physician Assistant | 107 Metker Trl, Ste A, Stanford, KY 40484-1049 | 2013-01-08 |
| 1508119231 | Jamin Andrew Scribner | Nurse Practitioner | 107 Metker Trl, Stanford, KY 40484-1049 | 2012-10-18 |
| 1487799516 | Jeanne A Chase | Nurse Practitioner | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2007-02-20 |
| 1265571020 | Bluegrass Clinic Stanford, Pllc | Legal Medicine | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2007-02-06 |
| 1316979404 | Donna C Hankla | Legal Medicine | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2006-07-07 |
| 1619949278 | Stephen P Meese | Obstetrics & Gynecology | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208335 | Carol Ann Trapp | Case Manager/Care Coordinator | 333 Frontier Blvd., Stanford, KY 40484 | 2016-03-29 |
| 1285096123 | Stanford Eye Center Psc | Optometrist | 101 Us Hwy 150 Bypass, Suite 117, Stanford, KY 40484 | 2016-03-21 |
| 1679712434 | Laura Smith | Occupational Therapist | 1538 Teytonwell Rd, Stanford, KY 40484 | 2009-02-18 |
| 1104015593 | Precision Chiropractic Center, Psc | Chiropractor | 109 Lily Dr., Stanford, KY 40484 | 2007-10-22 |
| 1114121159 | Emhfl, Inc. | Optometrist | 110 Metker Trail, Stanford, KY 40484 | 2007-06-13 |
| 1841417490 | Shelley Lynn Alford I | Speech-Language Pathologist | 228 Grist Mill Rd., Stanford, KY 40484 | 2007-04-18 |
| 1043332091 | Lincoln County Health Department | Clinic/Center | 342 Education Way, Stanford, KY 40484 | 2007-04-03 |
| 1316963036 | Theresa L Kelsey | Physical Therapist | 123 Frontier Blvd Ste 106, Stanford, KY 40484 | 2006-07-14 |
| 1366485989 | New Vista of The Bluegrass Inc | Clinic/Center | 322 Frontier Boulevard, Stanford, KY 40484 | 2006-06-13 |
| 1811164429 | Fort Logan Hospital | Clinical Medical Laboratory | 110 Metker Trail, Stanford, KY 40484 | 2008-05-13 |
| Find all providers in zip 40484 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
| Find all providers with the same taxonomy | ||||
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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.