Organization Active NPI

Lake Cumberland Regional Hospital LLC

Doing business as Advance Lung & Sleep Center

  • Pulmonary Disease Physician
  • Somerset, KY
National Provider Identifier
1073704789
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Doing business as
Advance Lung & Sleep Center
Practice address
350 Hospital Way
Suite 250
Somerset, KY 42503-2872
Phone
(606) 678-0171
Fax
(606) 678-2087
NPI assigned
Aug 7, 2007
Last updated
Mar 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Weiss
Title
President
Phone
(612) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

350 Hospital Way
Suite 250
Somerset, KY 42503-2872

Mailing address

350 Hospital Way
Suite 250
Somerset, KY 42503-2872
Phone (606) 678-0171

Other identifiers 1

IdentifierTypeStateIssuer
CG4101OtherRAILROAD - MEDICARE

Other names 1

  • Advance Lung & Sleep Center Doing business as

National Provider Directory

National Provider Directory
Part of
Lake Cumberland Regiona

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1073704789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 250",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-678-0171",
            "fax_number": "606-678-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 250",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-678-0171",
            "fax_number": "606-678-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND REGIONAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CUMBERLAND REGIONAL HOSPITAL LLC",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-372-8500"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD - MEDICARE",
            "identifier": "CG4101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Lung & Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.