Cumberland Lung Specialists
Organization Active NPI Pulmonary Disease Physician · Winchester, TN
NPI 1013426741 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1013426741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 45651 (TN)
- Legal business name
- CUMBERLAND LUNG SPECIALISTS
- Practice address
- 185 Hospital Rd
Winchester, TN 37398-2404 - Phone
- (931) 434-8155
- NPI assigned
- Sep 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Oscar G Hernandez, MD
- Title
- Owner
- Phone
- (931) 434-8155
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180420002234 | TN | Part B Supplier - Clinic/Group Practice | 0547523797 |
Receives reassigned benefits from 1 practitioner Practice locations: Winchester, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | 45651 | TN | Yes |
Addresses
Primary practice location
185 Hospital Rd
Winchester, TN 37398-2404
Mailing address
PO Box 1986
Tullahoma, TN 37388-1986
Phone (931) 434-8155
Other providers in Winchester, TN
- Cumberland Healthcare Group PLLC
- Cumberland Healthcare Group PLLC
- Cumberland Healthcare Group, PLLC
- Cumberland Healthcare Group, PLLC
- Cumberland Healthcare Group,PLLC
- Cumberland Neurology, LLC
- Tiffany Michelle Curtis
- Gina M Dado
- Cadence Nariah Dawson
- Ashley De Witt
All providers in Winchester, TN · Pulmonary Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.