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CUMBERLAND FOOT AND ANKLE CENTERS NPI 1053819904


NPI Information

NPI: 1053819904
Provider Name: CUMBERLAND FOOT AND ANKLE CENTERS
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1850 WESTEN STREET
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
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CUMBERLAND FOOT AND ANKLE CENTERS is a foot surgery podiatrist in Bowling Green, KY. CUMBERLAND FOOT AND ANKLE CENTERS NPI is 1053819904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1850 WESTEN STREET
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
Fax: (270) 846-3318

The provider's authorized official is Jonathan E Moore .
The authorized official title is President/podiatrist and has the following contact phone number (606) 679-2773.

The enumeration date for this NPI number is 1/25/2018 and was last updated on 1/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2213ES0131XPodiatristFoot SurgeryYes
3363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100207030MEDICAIDKENTUCKY
27100234690MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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