Organization Active NPI

Cumberland Gastroenterology, P.S.C.

  • Gastroenterology Physician
  • Somerset, KY
National Provider Identifier
1295823698
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34871 Issued in KY
Legal business name
CUMBERLAND GASTROENTEROLOGY, P.S.C.
Practice address
56 Tower Cir
Somerset, KY 42503-3476
Phone
(606) 677-2913
Fax
(606) 677-6983
NPI assigned
Oct 11, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Samir Issa Cook, M.D.NPI 1629075296
Title
President
Phone
(606) 677-2913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 34871 KY Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 4617P KY

Addresses

Primary practice location

56 Tower Cir
Somerset, KY 42503-3476

Mailing address

56 Tower Cir
Somerset, KY 42503-3476
Phone (606) 677-2913

National Provider Directory

National Provider Directory

Locations

56 Tower Cir
Somerset, KY 42503
Phone (606) 677-2193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1295823698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2913",
            "fax_number": "606-677-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2913",
            "fax_number": "606-677-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND GASTROENTEROLOGY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "ISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-677-2913",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "34871",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4617P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2013; 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.