Samir I Cook (NPI# 1629075296, PAC ID# 4880685007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1629075296 |
| PAC ID by PECOS | 4880685007 |
| Professional Enrollment ID | I20040624000189 |
| Full Name | Samir I Cook |
| Organization Legal Name | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Address |
56 Tower Cir Somerset KY 42503-3476 |
| Phone Number | 6066772913 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1992 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2567510464 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| 181321 | WAYNE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 56 Tower Cir, Somerset, KY 42503-3476 | 6066772913 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Organization Legal Name | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal Fazal Rabbi | Thoracic Surgery | Lake Cumberland Physician Practices LLC | 120 Tradepark Dr B, Somerset, KY 42503-3454 |
| Leslie Sue Chambers | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 26 Oxford Way B, Surgery Specialists, Somerset, KY 42503-2813 |
| Molly Simmons | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 353 Bogle St C, Somerset, KY 42503-2888 |
| Stephanie M Hutchinson | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 301 Langdon St, Somerset, KY 42503-2750 |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Melissa Cheng | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Tower Cir, Somerset, KY 42503-3476 |
| Piyush D Patel | Neurology | Lake Cumberland Physician Practices LLC | 104 Hardin Ln, Suite A, Somerset, KY 42503-3800 |
| Harold H Rutledge | Interventional Pain Management | Lake Cumberland Physician Practices LLC | 305 Langdon St P, Somerset, KY 42503-2750 |
| Todd L Horn | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Benjamin C Bryson | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Street Address |
56 TOWER CIR |
| City | SOMERSET |
| State | KY |
| Zip | 42503-3476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd L Horn | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Benjamin C Bryson | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Angela Stinson | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Sharon Adams | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Jason E Dixon | Nurse Practitioner | Cumberland Gastroenterology, P.s.c. | 56 Tower Cir, Somerset, KY 42503-3476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Heidi Renae Frey | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Eric D Johnson | Diagnostic Radiology | 607 Clifty St, Somerset, KY 42503-1765 | |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SOMERSET + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.