Lake Cumberland Surgical Consultants Psc
LBN: Lake Cumberland Surgical Consultants Psc
Lake Cumberland Surgical Consultants Psc is an health care organization with primary practice located at 350 Hospital Way Ste 270 , Somerset KY 42503-1875. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Lake Cumberland Surgical Consultants Psc can be contacted via phone (606) 425-4298, or through Shelton, Tommy Warren via phone (606) 425-4298.
Contact Information
Primary practice address
350 Hospital Way Ste 270
Somerset KY 42503-1875
Phone: (606) 425-4298
Fax: (606) 425-4299
Website:
Authorized official contact:
Name: Shelton, Tommy Warren Doctor of Medicine (MD)
Phone: (606) 425-4298
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Kentucky | |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Kentucky |
Profile Details
| NPI number | 1801063698 |
|---|---|
| LBN Legal business name | Lake Cumberland Surgical Consultants Psc |
| DBA Doing business as | |
| Authorized official | Shelton, Tommy Warren Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2008 |
| Last updated | Mar 5th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801063698 | NPPES |
| Kentucky | MEDICAID | 7100052880 - MD GRP |
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