LAKE CUMBERLAND PHYSICIAN PRACTICES LLC (NPI# 1811396195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811396195 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Other Organization Name | LAKE CUMBERLAND SURGERY SPECIALISTS |
| Practice Address |
350 Hospital Way Suite 270 Somerset KY 42503 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027 |
| Practice Telephone | 6064254298 |
| Practice Fax Number | 6064254299 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Surgery Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1174091383 | Lake Cumberland Physician Practices LLC | Physician Assistant | 56 Tower Cir, Somerset, KY 42503-3476 | 2018-11-06 |
| 1104261403 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2013-05-01 |
| 1386999027 | Lake Cumberland Physician Practices LLC | Psychiatry & Neurology | 154 Bogle Office Park Dr, Suite B, Somerset, KY 42503 | 2012-07-18 |
| 1982999843 | Lake Cumberland Physician Practices LLC | Family Medicine | 340 Bogle St, Suite 104, Somerset, KY 42503-2892 | 2011-06-17 |
| 1437440054 | Lake Cumberland Physician Practices LLC | Internal Medicine | 30 Tower Cir, Somerset, KY 42503-3476 | 2011-04-30 |
| 1700198884 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite C, Somerset, KY 42503-2888 | 2010-07-06 |
| Street Address |
350 HOSPITAL WAY SUITE 270 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180757 | Amr Osman El-naggar | Neurological Surgery | 350 Hospital Way, Suite 270, Somerset, KY 42503-2872 | 2006-01-30 |
| 1073165544 | Makenzie Kinder | Physician Assistant | 350 Hospital Way, Somerset, KY 42503-2872 | 2019-07-15 |
| 1083110001 | Richard F Atkinson | Student in an Organized Health Care Education/Training Program | 350 Hospital Way, Somerset, KY 42503-2872 | 2018-03-30 |
| 1972008043 | Soleiman Osman | Student in an Organized Health Care Education/Training Program | 350 Hospital Way, Somerset, KY 42503-2872 | 2018-03-29 |
| 1619470069 | Matthew Antalis | Student in an Organized Health Care Education/Training Program | 350 Hospital Way, Somerset, KY 42503-2872 | 2018-03-12 |
| 1083145874 | Travis Massengale | Family Medicine | 350 Hospital Way, Somerset, KY 42503-2872 | 2017-03-23 |
| 1558802751 | Umar Bhatti | Emergency Medicine | 350 Hospital Way, Somerset, KY 42503-2872 | 2017-03-20 |
| 1518312339 | Elizabeth Katherine Durham | Emergency Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503 | 2016-04-29 |
| 1043664774 | Rainer Allen Oliver | Emergency Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503-2872 | 2016-04-19 |
| 1679934558 | Erika Kelly | Internal Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503-2872 | 2016-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577089 | Somerset Surgical Services | Surgery | 81 Veronica Ave Fl 1, Somerset, NJ 08873-3491 | 2018-11-19 |
| 1780106575 | Somerset County General Surgery | Surgery | 40 Clifford Cir, Somerset, NJ 08873-7479 | 2017-07-13 |
| 1568836039 | Amit Gupta Professional Association | Surgery | 16 Willow Ave, Somerset, NJ 08873-1427 | 2015-11-21 |
| 1669618997 | Douglas G. Devan | Surgery | 520 Spring St Apt A1, Somerset, WI 54025-9066 | 2008-12-16 |
| 1043467624 | Jose Rafael Valladares Arias | Surgery | 138 Forbes St, Somerset, PA 15501-4545 | 2008-08-26 |
| 1780831800 | Cumberland Center for Obesity Surgery Plc | Surgery | 154 Bogle Office Park Dr, Ste B, Somerset, KY 42503-2810 | 2008-08-20 |
| 1144347675 | Lisa Anne Hopkins | Surgery | 1553 Lincoln Hwy, Suite 3100, Somerset, NJ 08873-3980 | 2007-03-22 |
| 1821127010 | Cumberland Surgical Associates | Surgery | 26 Oxford Way Ste A, Somerset, KY 42503-2813 | 2007-03-05 |
| 1639233711 | Charles Franco Md PC | Surgery | 81 Veronica Avenue, Suite 205, Somerset, NJ 08873-3491 | 2006-12-21 |
| 1609983048 | Keith G Sinclair | Surgery | 79 Imaging Dr, Somerset, KY 42503-2869 | 2006-08-23 |
| 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.