LAKE CUMBERLAND MEDICAL ASSOCIATES
NPI 1023155462
Clinic/Center - Rural Health in Somerset, KY

NPI Status: Active since February 01, 2007

Contact Information

305 LANGDON ST
SOMERSET, KY
ZIP 42503
Phone: (606) 679-7441

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 18D0990588
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-26-2025

About LAKE CUMBERLAND MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Lake Cumberland Medical Associates, a primary care provider established in Somerset, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1023155462 assigned on February 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Lake Cumberland Medical Associates. The authorized official of this NPI record is Charlotte Lawrence (Secretary)

NPI
1023155462
Provider Legal Name
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Other Organization Name
LAKE CUMBERLAND MEDICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
305 LANGDON ST SOMERSET, KY 42503
Location Phone
(606) 679-7441
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2007
Last Update Date
10-16-2024
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A primary care provider (PCP) like Lake Cumberland Medical Associates sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLOTTE LAWRENCE

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0990588
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 27, 2023
Certificate Expiration Date
August 26, 2025
Laboratory Director
MS. DEBRA LAMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Cumberland Medical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023155462
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20432510412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 5 + 1 + 0 + 4 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1023155462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700889144 DAVID WAYNE FLYNN M.D.
Individual
Family Medicine305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1609878099 MOHAMMED FAROOQUI M.D.
Individual
Anesthesiology305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1457347114 STEVEN M EBERLY MD
Individual
Radiology (Diagnostic Radiology)305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1114906898DR. MICHAEL ALAN MARKS M.D.
Individual
Radiology (Diagnostic Radiology)305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1285671255 WILLIAM M BAKER MD
Individual
Radiology (Diagnostic Radiology)305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1902845332 SHAZIA IQBAL MD
Individual
Family Medicine305 LANGDON ST
SOMERSET, KY 42503
(606) 451-2994
1871526020 ERMELINDA ARRIOLA M.D.
Individual
Anesthesiology305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1215070164LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Organization
Internal Medicine305 LANGDON ST
SOMERSET, KY 42503
(606) 451-2994
1316144371MR. JEFF HERNDON
Individual
Physical Therapist305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1487831277MR. SHAWN SEARS CRNA
Individual
Nurse Anesthetist, Certified Registered305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1518114966MR. LARRY STEVEN HOUSE P.T.
Individual
Physical Therapist305 LANGDON ST
SOMERSET, KY 42503
(606) 678-3311
1417106113MISS JESSICA LYNN BRAY PTA
Individual
Physical Therapy Assistant305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1043461932 MICHAEL EDWARD HELM PA-C
Individual
Physician Assistant305 LANGDON ST STE H
SOMERSET, KY 42503
(606) 451-2994
1154650257 DANIEL G. PATTON CRNA
Individual
Nurse Anesthetist, Certified Registered305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1922338763 DONALD BECKLEY CRNA
Individual
Nurse Anesthetist, Certified Registered305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1811292345 MUBASHAR KHARAL MD
Individual
Internal Medicine305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441
1134492747 BENJAMIN THOMAS KABEL CRNA
Individual
Nurse Anesthetist, Certified Registered305 LANGDON ST
SOMERSET, KY 42503
(606) 678-7441
1972595106 EPISON TAN M.D.
Individual
Anesthesiology305 LANGDON ST
SOMERSET, KY 42503
(606) 678-3288
1831177534 PATRICIA A COOPER DNP, MSN, APRN
Individual
Nurse Practitioner305 LANGDON ST
SOMERSET, KY 42503
(606) 678-3531
1124134192CUMBERLAND ANESTHESIA ASSOCIATES, INC.
Organization
Anesthesiology305 LANGDON ST
SOMERSET, KY 42503
(606) 679-7441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023155462, enumerated in the NPI registry as an "organization" on February 01, 2007

The provider is located at 305 Langdon St Somerset, Ky 42503 and the phone number is (606) 679-7441

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider's CLIA number is 18D0990588 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.