| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 7214909456 |
|---|---|
| Medicare Enrollment ID | O20040809001229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861078685 | NPI | - | NPPES |
| Provider Name | Bernard Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760413058 PECOS PAC ID: 7618872581 Enrollment ID: I20031204000046 |
| Provider Name | Ibraiz Iqbal |
|---|---|
| Provider Type | Practitioner - Interventional 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 |
|---|---|
| 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 | 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 |
|---|---|
| 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 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 | Leah C Ashworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447326715 PECOS PAC ID: 2860596384 Enrollment ID: I20160301001145 |
| 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 |
| Provider Name | Rebecca Regan Whitworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619536794 PECOS PAC ID: 0840733788 Enrollment ID: I20240619001625 |
| Provider Name | James Lutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922689629 PECOS PAC ID: 3274072749 Enrollment ID: I20240828002033 |
| Provider Name | Alyssa L Kozacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174100895 PECOS PAC ID: 2264972207 Enrollment ID: I20240905002147 |
| Provider Name | Amanda Jo Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194564211 PECOS PAC ID: 2365973815 Enrollment ID: I20241008002044 |
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 Regional Hospital Llc 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 | |
Fast Pace Kentucky Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 S Highway 27 Ste 1, Somerset, KY 42501 Phone: 606-416-5719 | |
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 | |
Alternative Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2441 S Highway 27, Somerset, KY 42501 Phone: 502-608-3216 |