Cumberland Gastroenterology, P.S.C.

Key facts

NPI

1295823698

Entity type

Organization (NPI type 2)

Primary specialty

Gastroenterology Physician 207RG0100X

License

34871 (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

Organization subpart

No

Authorized official

Name

Samir Issa Cook, M.D.

Title

President

Phone

(606) 677-2913

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID NP GROUP",
            "identifier": "7100161540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933517",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

• Cumberland Family Medical Center Inc
• Cumberland Foot & Ankle Centers
• Cumberland Foot and Ankle Centers
• Cumberland Foot and Ankle Centers
• Cumberland Foot and Ankle Centers
• Cumberland Gastroenterology, PSC
• Cumberland Lung & Sleep Specialists, PSC.
• Cumberland Medical Laboratories Inc
• Cumberland Nephrology
• Cumberland Otolaryngology Consultants, PSC

All providers in Somerset, KY · Gastroenterology Physician in Kentucky