KRISTOPHER MICHAEL CUMBERMACK (NPI# 1356526156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356526156 |
| Entity Type | Individual |
| Full Name | KRISTOPHER MICHAEL CUMBERMACK |
| Other Name | K.C. CUMBERMACK |
| Credential | MD |
| Practice Address |
800 Rose Street Mn 150 Kentucky Children's Hospital Lexington KY 40536-0298 |
| Practice Telephone | 8593235494 |
| Practice Fax Number | 8593233499 |
| Mailing Telephone | 8593235494 |
| Mailing Fax Number | 8593233499 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
44022 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
060362 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
800 ROSE STREET MN 150 KENTUCKY CHILDREN'S HOSPITAL |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871120105 | Mason Grant Johnson | Student in an Organized Health Care Education/Training Program | 800 Rose Street Mn 150, Lexington, KY 40506-0001 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931014 | Eimear Mcgovern | Pediatrics | 740 S Limestone L203, Lexington, KY 40536-0284 | 2018-08-13 |
| 1003129552 | Preeti Ramachandran | Pediatrics | 800 Rose St Fl Ha4, Lexington, KY 40536 | 2010-07-26 |
| 1780604462 | Thomas Gerald Disessa | Pediatrics | 3945 Peppertree Dr, Lexington, KY 40513-1398 | 2006-07-19 |
| 1194757948 | Douglas James Schneider | Pediatrics | 800 Rose Street, Mn150, Lexington, KY 40536 | 2006-07-06 |
| 1912338948 | Joshua Morris Hayman | Pediatrics | 138 Leader Ave, Lexington, KY 40508-3215 | 2013-12-02 |
| 1629323746 | Callie Leeanne Rzasa | Pediatrics | 138 Leader Ave, Rm 252, Lexington, KY 40506-3215 | 2012-07-14 |
| 1760611503 | Abeer Bahaa Eldin Hamdy Ibrahim Hamdy | Pediatrics | 1760 Nicholasville Rd, Ste 602, Lexington, KY 40503-1471 | 2009-07-14 |
| 1619105939 | Shaun Mohan | Pediatrics | 138 Leader Ave, Lexington, KY 40506-9983 | 2009-06-25 |
| 1831381367 | Majd Makhoul | Pediatrics | 740 S Limestone St, Lexington, KY 40536-0001 | 2007-08-17 |
| 1720206550 | Melissa Lynn Lefebvre | Pediatrics | 740 S Limestone, Lexington, KY 40536-0284 | 2007-04-24 |
| Find all providers in LEXINGTON | ||||
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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.