Lake Cumberland Regional Hospital Llc | |
110 Hardin Ln Ste 9 Somerset KY 42503-3818 | |
(606) 679-7316 | |
(606) 679-0139 |
Full Name | Lake Cumberland Regional Hospital Llc |
---|---|
Speciality | Internal Medicine |
Location | 110 Hardin Ln Ste 9, Somerset, Kentucky |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lake Cumberland Regional Hospital Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Lake Cumberland Regional Hospital Llc 110 Hardin Ln Ste 9 Somerset KY 42503-3818 Ph: (606) 679-7316 |
NPI Number | 1861078685 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 10/07/2022 |
Medicare PECOS PAC ID | 7214909456 |
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Medicare Enrollment ID | O20040809001229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861078685 | NPI | - | NPPES |
Provider Name | Bernard Williams |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760413058 PECOS PAC ID: 7618872581 Enrollment ID: I20031204000046 |
Provider Name | Ibraiz Iqbal |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1720067168 PECOS PAC ID: 8022089390 Enrollment ID: I20040804000998 |
Provider Name | Wael Iibrahim Abdelrhman Ghanim |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841241668 PECOS PAC ID: 2466421524 Enrollment ID: I20040927000649 |
Provider Name | Khaled Saleh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1689767543 PECOS PAC ID: 2961397617 Enrollment ID: I20050426000666 |
Provider Name | Jonathan B Dixon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609840073 PECOS PAC ID: 0749214443 Enrollment ID: I20050922000198 |
Provider Name | Piyush Patel |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164413159 PECOS PAC ID: 0042115404 Enrollment ID: I20051013000612 |
Provider Name | Michael S Citak |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1538275557 PECOS PAC ID: 0648272708 Enrollment ID: I20070202000451 |
Provider Name | Donald B Cherry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659377075 PECOS PAC ID: 0345342911 Enrollment ID: I20070228000383 |
Provider Name | Jonathan Ruby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346395837 PECOS PAC ID: 3072522515 Enrollment ID: I20070607000170 |
Provider Name | Timothy W Poynter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982666897 PECOS PAC ID: 4688765167 Enrollment ID: I20070813000600 |
Provider Name | Michael R Tekulve |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760601025 PECOS PAC ID: 2062506041 Enrollment ID: I20070921000134 |
Provider Name | Anthony J Stugan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700800844 PECOS PAC ID: 2365538865 Enrollment ID: I20071015000174 |
Provider Name | David W Flynn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700889144 PECOS PAC ID: 0143317917 Enrollment ID: I20071026000375 |
Provider Name | Jillisa D Hawk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053567552 PECOS PAC ID: 8224196092 Enrollment ID: I20081022000756 |
Provider Name | Randall Elliot Dalton |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1336155944 PECOS PAC ID: 8729094628 Enrollment ID: I20090504000259 |
Provider Name | Robert B Bemiss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295847622 PECOS PAC ID: 9234282278 Enrollment ID: I20090808000011 |
Provider Name | Lisa E Marcum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306076443 PECOS PAC ID: 9931254174 Enrollment ID: I20090911000257 |
Provider Name | Robert G Drake |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528151685 PECOS PAC ID: 4183763402 Enrollment ID: I20091130000304 |
Provider Name | Susan J Petrosky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124021563 PECOS PAC ID: 4284762402 Enrollment ID: I20100510000404 |
Provider Name | Jeffrey W Golden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083688444 PECOS PAC ID: 0749318616 Enrollment ID: I20100513000638 |
Provider Name | Patrick F Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417921883 PECOS PAC ID: 4284762030 Enrollment ID: I20100514000525 |
Provider Name | David M Reilly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053385443 PECOS PAC ID: 7315078813 Enrollment ID: I20100628000493 |
Provider Name | Joseph G Weigel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053385674 PECOS PAC ID: 3577694850 Enrollment ID: I20100630000526 |
Provider Name | Gregory J Sherry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164496782 PECOS PAC ID: 0840321139 Enrollment ID: I20100630000646 |
Provider Name | Stanton L Cole |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740254358 PECOS PAC ID: 6608907720 Enrollment ID: I20100706000170 |
Provider Name | Rodney J Oakes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932173572 PECOS PAC ID: 0840321865 Enrollment ID: I20100708000150 |
Provider Name | Harry R Kennedy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386618627 PECOS PAC ID: 8022140946 Enrollment ID: I20100713000074 |
Provider Name | James D Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225002561 PECOS PAC ID: 4981737087 Enrollment ID: I20100726000711 |
Provider Name | Robert W Cameron |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1366422644 PECOS PAC ID: 9234224940 Enrollment ID: I20100728001095 |
Provider Name | Allison Cherry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871599399 PECOS PAC ID: 6305038258 Enrollment ID: I20101011000249 |
Provider Name | Stephanie M Hutchinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154640357 PECOS PAC ID: 0143419028 Enrollment ID: I20110107000139 |
Provider Name | Sandra Lee Braswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700186343 PECOS PAC ID: 3971792664 Enrollment ID: I20110111000968 |
Provider Name | Larry L Oteham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700852639 PECOS PAC ID: 8022078153 Enrollment ID: I20110926000725 |
Provider Name | Hafiz Sarfraz A Khan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1265621411 PECOS PAC ID: 6709051485 Enrollment ID: I20111207000675 |
Provider Name | Daniel L Gallo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861562746 PECOS PAC ID: 5698957363 Enrollment ID: I20120611000198 |
Provider Name | Valerie G Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457794604 PECOS PAC ID: 3779722053 Enrollment ID: I20130618000065 |
Provider Name | Autumn Z Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467795690 PECOS PAC ID: 1759520042 Enrollment ID: I20130618000102 |
Provider Name | Dana L Gibson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1972573269 PECOS PAC ID: 4183866403 Enrollment ID: I20130815000274 |
Provider Name | Allison R Bastin Muse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285604074 PECOS PAC ID: 0143463265 Enrollment ID: I20130821000324 |
Provider Name | Misty A Cundiff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497178347 PECOS PAC ID: 3971734617 Enrollment ID: I20140324000414 |
Provider Name | Michael Anthony Wilson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912260662 PECOS PAC ID: 1456570928 Enrollment ID: I20140915002267 |
Provider Name | Robin Goff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710381124 PECOS PAC ID: 2062735251 Enrollment ID: I20141218002283 |
Provider Name | Julie K Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437549458 PECOS PAC ID: 7517278823 Enrollment ID: I20150612000602 |
Provider Name | Deanna L Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154714442 PECOS PAC ID: 6103130422 Enrollment ID: I20150730013380 |
Provider Name | Jody Coomer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962863407 PECOS PAC ID: 4880991488 Enrollment ID: I20160421000890 |
Provider Name | Lee M. Riddle |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295149532 PECOS PAC ID: 0749580975 Enrollment ID: I20160516002348 |
Provider Name | Birrilla Maddox |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528471463 PECOS PAC ID: 8426368374 Enrollment ID: I20160525002535 |
Provider Name | Stefanie T Dolen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003229220 PECOS PAC ID: 1052629946 Enrollment ID: I20160525002649 |
Provider Name | Sean T Desimone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225422041 PECOS PAC ID: 9032406160 Enrollment ID: I20160916002398 |
Provider Name | Ashley M Harris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760878680 PECOS PAC ID: 5991092066 Enrollment ID: I20160919000921 |
Provider Name | Traci A Bouchard |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902869324 PECOS PAC ID: 3274609185 Enrollment ID: I20160919001428 |
Provider Name | Tonya E Shea |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740674522 PECOS PAC ID: 0941588578 Enrollment ID: I20161101002395 |
Provider Name | Sarah K Hacker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881105062 PECOS PAC ID: 3375806607 Enrollment ID: I20180418002446 |
Provider Name | Ryann Poerio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508361601 PECOS PAC ID: 1850655697 Enrollment ID: I20180503000781 |
Provider Name | Tonya E Shea |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740674522 PECOS PAC ID: 0941588578 Enrollment ID: I20181005002129 |
Provider Name | Mandissa Sealey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760870778 PECOS PAC ID: 4284911801 Enrollment ID: I20190118002113 |
Provider Name | David Brandon Thomas |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1083961601 PECOS PAC ID: 9830499037 Enrollment ID: I20190917003252 |
Provider Name | Laura Elizabeth Pedersen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225562010 PECOS PAC ID: 1951732510 Enrollment ID: I20200514001716 |
Provider Name | Travis Massengale |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083145874 PECOS PAC ID: 8820429368 Enrollment ID: I20200515001944 |
Provider Name | Rebecca Jeannine Blakley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346751013 PECOS PAC ID: 1456782903 Enrollment ID: I20200515002455 |
Provider Name | Kari L Craun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427405224 PECOS PAC ID: 4789978198 Enrollment ID: I20200708003372 |
Provider Name | Joseph Eid |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467894113 PECOS PAC ID: 6002058500 Enrollment ID: I20200804000669 |
Provider Name | Andrew C Vaughn |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1972981439 PECOS PAC ID: 8325336167 Enrollment ID: I20210505000500 |
Provider Name | Katie J Aaron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033792726 PECOS PAC ID: 3870997703 Enrollment ID: I20210813001904 |
Provider Name | Blake Dixon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033772199 PECOS PAC ID: 6800274325 Enrollment ID: I20220610002396 |
Provider Name | Kristie Lynn Short |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457047524 PECOS PAC ID: 5193186583 Enrollment ID: I20230801004402 |
Upperline Healthcare, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Tradepark Dr Ste B, Somerset, KY 42503 Phone: 606-679-2773 Fax: 606-679-4626 | |
Lake Cumberland Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 Phone: 615-221-5901 | |
Brock Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 S Highway 27 Ste 1, Somerset, KY 42501 Phone: 606-416-5719 | |
Mohammad Afzal Md Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Hardin Ln Ste 2b, Somerset, KY 42503 Phone: 606-451-0312 | |
Kentucky Family Care Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Bogle St, Ste B, Somerset, KY 42503 Phone: 606-679-9213 Fax: 606-677-9963 | |
Brenda Jean Jobson Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Bogle St, Suite A, Somerset, KY 42503 Phone: 606-678-8883 Fax: 606-677-0220 |