CUMBERLAND FOOT AND ANKLE CENTER (NPI# 1508172701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508172701 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FOOT AND ANKLE CENTER |
| Practice Address |
92 Joe T Petty Dr Russell Springs KY 42642-8544 |
| Mailing Address |
117 Tradepark Dr Somerset KY 42503-3428 |
| Practice Telephone | 2708667303 |
| Practice Fax Number | 2708667306 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |
| 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 |
| 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 |
| 1205142411 | Cumberland Foot and Ankle Center | Podiatrist | 107 Metker Trl, Suite C, Stanford, KY 40484-1049 | 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 |
92 JOE T PETTY DR |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-8544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938733 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Suite 700, Russell Springs, KY 42642-8543 | 2005-08-09 |
| 1295245025 | Russell County Hospital | Clinic/Center | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2017-10-06 |
| 1922315266 | Terani Robertson | Nurse Practitioner | 92 Joe T Petty Dr, Suite 400, Russell Springs, KY 42642-8544 | 2010-09-08 |
| 1679778377 | Russell County Hospital | Clinical Medical Laboratory | 92 Joe T Petty Dr, Suite 500, Russell Springs, KY 42642-8543 | 2007-06-20 |
| 1205987542 | Lily Creek Medical Group, Psc | Nurse Practitioner | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1417008756 | Robert L. Bertram | Internal Medicine | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1841348406 | Russell Springs Pharmacy | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Ste 100, Russell Springs, KY 42642-8544 | 2007-01-08 |
| 1477630879 | Commonwealth Urology Russell Springs | Urology | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-11-01 |
| 1992718084 | Laker Drug Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-08-13 |
| 1700857414 | Miles Kenton Gibson | Family Medicine | 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| 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 | ||||
| City | RUSSELL SPRINGS |
| Zip Code | 42642 |
Please comment or provide details below to improve the information on CUMBERLAND FOOT AND ANKLE CENTER.
| 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.