LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC (NPI# 1841424611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841424611 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC |
| Other Organization Name | PLASTIC SURGERY OF LAKE CUMBERLAND |
| Practice Address |
353 Bogle St Suite B Somerset KY 42503-2888 |
| Practice Telephone | 6064513827 |
| Practice Fax Number | 6064513829 |
| Mailing Telephone | 6064513827 |
| Mailing Fax Number | 6064513829 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plastic Surgery of Lake Cumberland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1982073813 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 30 Medpark Square, Suite 1, Somerset, KY 42503-1709 | 2015-09-22 |
| 1164832531 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 72 Joe T Petty Dr, Russell Springs, KY 42642-8533 | 2014-05-06 |
| 1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
| 1538594668 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 349 Bogle St, Suite A, Somerset, KY 42503-2895 | 2013-09-09 |
| 1730489840 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 305 Langdon Street, Suite P, Somerset, KY 42503 | 2010-10-25 |
| 1790924785 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 143a Bogle Office Park Dr, Somerset, KY 42503-2810 | 2009-02-13 |
| 1053550046 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-02-13 |
| 1285832808 | Lake Cumberland Physician Practices, LLC | General Practice | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2007-07-05 |
| Street Address |
353 BOGLE ST SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323184 | Amy Lankford Jones | Physician Assistant | 353 Bogle St, Suite C, Somerset, KY 42503-2888 | 2005-08-17 |
| 1104261403 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2013-05-01 |
| 1164866877 | Nautilus Health Care Group, Plc | Emergency Medicine | 353 Bogle St, Somerset, KY 42503-2888 | 2013-04-24 |
| 1093092744 | Lake Cumberland Regional Hospital LLC | Nurse Practitioner | 353 Bogle St, Suite A, Somerset, KY 42503-2888 | 2011-11-09 |
| 1700198884 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite C, Somerset, KY 42503-2888 | 2010-07-06 |
| 1336307792 | Dennis Jose Joseph | Internal Medicine | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2008-06-01 |
| 1235164492 | Allyson Morgan | Physical Therapist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-12 |
| 1134154305 | Stephen Sims | Specialist/Technologist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-12 |
| 1023041324 | Tamara B Cranfill | Speech-Language Pathologist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-09 |
| 1124051438 | Nicole L Blevins | Occupational Therapist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-09 |
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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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427335 | Susan Tucker Kornegay | Surgery | 740 S Limestone E101, Lexington, KY 40536-0001 | 2019-03-20 |
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1881126563 | Christopher Robert Howell | Surgery | University of Kentucky Chandler Hospital 800 Rose St, Lexington, KY 40536-0001 | 2017-03-31 |
| 1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1306813852 | Lesley Wong | Surgery | 740 S Limestone Ky Clinic K454, University of Kentucky - Division of Plastic Surgery, Lexington, KY 40536-0284 | 2006-03-03 |
| 1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
| 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.