CUMBERLAND FOOT AND ANKLE CENTERS NPI 1437679990

NPI Information

NPI: 1437679990
Provider Name: CUMBERLAND FOOT AND ANKLE CENTERS
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1830 DESTINY LN STE 110
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
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CUMBERLAND FOOT AND ANKLE CENTERS is a foot and ankle surgery podiatrist in Bowling Green, KY. CUMBERLAND FOOT AND ANKLE CENTERS NPI is 1437679990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 DESTINY LN STE 110
BOWLING GREEN, KY
ZIP 42104-088
Phone: (270) 846-3338
Fax: (270) 846-3318

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

The enumeration date for this NPI number is 6/26/2017 and was last updated on 6/26/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207X00000X	Orthopaedic Surgery		No
2	363LF0000X	Nurse Practitioner	Family	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100207030	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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