CUMBERLAND FOOT AND ANKLE CENTER NPI 1962718155

NPI Information

NPI: 1962718155
Provider Name: CUMBERLAND FOOT AND ANKLE CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1007 CUMBERLAND FALLS HWY
CORBIN, KY
ZIP 40701
Phone: (606) 258-8637
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CUMBERLAND FOOT AND ANKLE CENTER is a foot and ankle surgery podiatrist in Corbin, KY. CUMBERLAND FOOT AND ANKLE CENTER NPI is 1962718155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1007 CUMBERLAND FALLS HWY
CORBIN, KY
ZIP 40701-714
Phone: (606) 258-8637
Fax: (606) 523-4368

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

The enumeration date for this NPI number is 8/25/2010 and was last updated on 8/25/2010.

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	License Number	License State	Primary
1	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	4538530001	MEDICARE NSC	KENTUCKY
2	90005091	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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