CUMBERLAND FOOT AND ANKLE CENTERS (NPI# 1912512724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912512724 |
Entity Type | Organization |
Organization Name | CUMBERLAND FOOT AND ANKLE CENTERS |
Practice Address |
1030 Brookhaven Rd Franklin KY 42134-2745 |
Mailing Address |
117 Tradepark Dr Ste B Somerset KY 42503-3428 |
Practice Telephone | 2708463338 |
Practice Fax Number | 2708463318 |
Mailing Telephone | 6066792773 |
Mailing Fax Number | 6066794626 |
Enumeration Date | 2020-09-09 |
Last Update Date | 2020-09-09 |
Authorized Official Name | JONATHAN E MOORE (PRESIDENT/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 | 7100207030 | 05 | |
KY | 7100234690 | 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 |
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 |
1477073955 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 511 Middleburg St, Liberty, KY 42539-3009 | 2017-06-26 |
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 |
1030 BROOKHAVEN RD |
City | FRANKLIN |
State | KY |
Zip Code | 42134-2745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649240979 | Thomas Bernard Shields | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2006-01-26 |
1700492220 | Commonwealth Health Corporation, Inc. | Urology | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2020-09-21 |
1528516671 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2016-09-19 |
1346672235 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2013-08-02 |
1053653022 | Commonwealth Health Corporation, Inc. | Surgery | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2013-03-18 |
1255622544 | Commonwealth Foot and Ankle Care LLC | Durable Medical Equipment & Medical Supplies | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2011-04-21 |
1871827527 | Shields Family Clinic | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2009-09-29 |
1235231564 | Larry W Maynard, Md | Clinic/Center | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2006-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
1457716706 | Fast Pace Kentucky Pllc | Clinic/Center | 1475 Nashville Rd, Franklin, KY 42134 | 2015-12-30 |
1306263694 | Dana Marie Williams | Counselor | 608 South Main Street, Franklin, KY 42134 | 2014-03-25 |
1467659466 | Alexandria Bridges | Physical Therapist | 414 Robey Street, Bowling Green, KY 42134 | 2007-07-02 |
1902985658 | Kelly Family Dentistry Pllc | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134 | 2006-11-03 |
1588624670 | Roy D Reynolds | Family Medicine | 121 Memorial Dr, Franklin, KY 42134 | 2006-03-24 |
1528579687 | William Cody Russell | Physical Therapist | 1020 Main Street, Franklin, KY 42134 | 2017-10-17 |
1265951461 | Laura Michelle Nagode | Physical Therapist | 1100 Brookhaven Rd, Suite 201, Franklin, KY 42134 | 2017-09-19 |
1902232341 | Haley Petty | Physical Therapist | 1112 S Main St, Franklin, KY 42134 | 2013-09-17 |
1306288436 | Kimberlee G Sliger | Nurse Practitioner | 119 Memorial Dr, Franklin, KY 42134 | 2013-07-17 |
Find all providers in zip 42134 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760665434 | Brian Alan Kaye | Podiatrist | 32259 Scenic Ln, Franklin, Franklin, MI 48025-1702 | 2007-12-17 |
1437166683 | Rodney L. Bland | Podiatrist | 708 Clay St, Franklin, VA 23851-1823 | 2006-08-01 |
1316978729 | Southampton Foot & Ankle Clinic PC | Podiatrist | 110 W Second Ave., Franklin, VA 23851-1712 | 2006-07-05 |
1821075904 | James A Anderson Jr. | Podiatrist | 184 W Central St, Franklin, MA 02038-2137 | 2005-12-29 |
1164426763 | Robert D Matteucci | Podiatrist | 8153 S 27th St, Suite 400, Franklin, WI 53132-9549 | 2005-06-10 |
1902276389 | Deheer Holdings LLC | Podiatrist | 1159 W Jefferson St, Suite 204, Franklin, IN 46131-2794 | 2015-09-29 |
1790048502 | Farwa Abid-hoffman | Podiatrist | 1159 W Jefferson St Ste 204, Franklin, IN 46131-2795 | 2012-06-18 |
1568638674 | Kimberly Lynn Bobbitt | Podiatrist | 7400 W Rawson Ave, Suite 231, Franklin, WI 53132-8278 | 2008-05-08 |
1174714505 | University Foot and Ankle Centers, LLC | Podiatrist | 100 Covey Dr, Suite 309, Franklin, TN 37067-5665 | 2007-08-09 |
1215011689 | Julia K Riley | Podiatrist | 1300 W Jefferson St, Ste C, Franklin, IN 46131-9121 | 2006-10-24 |
Find all providers in FRANKLIN |
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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.