CUMBERLAND FOOT AND ANKLE CENTERS (NPI# 1477073955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477073955 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FOOT AND ANKLE CENTERS |
| Practice Address |
511 Middleburg St Liberty KY 42539-3009 |
| Mailing Address |
117 Tradepark Dr Ste B Somerset KY 42503-3428 |
| Practice Telephone | 6067876963 |
| Practice Fax Number | 6067875545 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| 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 | 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 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 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 |
| 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 |
511 MIDDLEBURG ST |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861408809 | Luann Elmore | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2006-07-31 |
| 1376189605 | Lisa Buis | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2019-11-21 |
| 1306314752 | Glen Ware Jr. | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2018-11-04 |
| 1023500618 | Emhfl, Inc. | Family Medicine | 511 Middleburg St, Liberty, KY 42539-3009 | 2018-05-31 |
| 1992207088 | Mira Daugherty | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2018-03-05 |
| 1518340595 | Justin Marshall Payton | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539-3009 | 2015-07-08 |
| 1790932812 | Ephraim Mcdowell Health Resource, Inc. | Family Medicine | 511 Middleburg St, Liberty, KY 42539 | 2008-08-20 |
| 1689729832 | Ephraim Mcdowell Regional Medical Center Incorporated | Family Medicine | 511 Middleburg St, Liberty, KY 42539 | 2007-01-25 |
| 1992868251 | Commonwealth Urology, Psc | Urology | 511 Middleburg St, Liberty, KY 42539 | 2006-12-18 |
| 1083799589 | Anne Marie Davis | Nurse Practitioner | 511 Middleburg St, Liberty, KY 42539 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316018989 | Comprehensive Foot Centers, P.a. | Podiatrist | 550 Rush Creek Pkwy Ste A, Liberty, MO 64068-9603 | 2006-11-13 |
| 1396075743 | Matthew Dean Nielsen | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 | 2010-01-07 |
| 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.