Provider Type Icon

LAKE CUMBERLAND SURGICAL CONSULTANTS PSC NPI 1801063698


NPI Information

NPI: 1801063698
Provider Name: LAKE CUMBERLAND SURGICAL CONSULTANTS PSC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
350 HOSPITAL WAY STE 270
SOMERSET, KY
ZIP 42503
Phone: (606) 425-4298
Get Directions

LAKE CUMBERLAND SURGICAL CONSULTANTS PSC is a surgery in Somerset, KY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LAKE CUMBERLAND SURGICAL CONSULTANTS PSC NPI is 1801063698. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

350 HOSPITAL WAY STE 270
SOMERSET, KY
ZIP 42503-875
Phone: (606) 425-4298
Fax: (606) 425-4299

The provider's authorized official is Tommy Warren Shelton .
The authorized official title is Owner/physician and has the following contact phone number (606) 425-4298.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 3/5/2014.


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
1363AS0400XPhysician AssistantSurgicalKENTUCKYNo
2208600000XSurgeryKENTUCKYYes

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
100675MEDICARE PINKENTUCKY
27100052880 - MD GRPMEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.