Active NPI
Cumberland Foot and Ankle Centers
- Foot & Ankle Surgery Podiatrist
- Liberty, KY
National Provider Identifier
1477073955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- CUMBERLAND FOOT AND ANKLE CENTERS
- Practice address
- 511 Middleburg St
Liberty, KY 42539-3009 - Phone
- (606) 787-6963
- Fax
- (606) 787-5545
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jonathan E Moore, DPM
- Title
- Associate Partner/Podiatrist
- Phone
- (606) 679-2773
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Cumberland Foot and Ankle Centers
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
NPPES NPI RegistryPrimary practice location
511 Middleburg St
Liberty, KY 42539-3009
Mailing address
117 Tradepark Dr Ste B
Somerset, KY 42503-3428
Phone (606) 679-2773
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100207030 | Medicaid | KY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2017.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498435200000",
"number": "1477073955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TRADEPARK DR STE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033428",
"telephone_number": "606-679-2773",
"fax_number": "606-679-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MIDDLEBURG ST",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393009",
"telephone_number": "606-787-6963",
"fax_number": "606-787-5545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FOOT AND ANKLE CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ASSOCIATE PARTNER/PODIATRIST",
"authorized_official_telephone_number": "606-679-2773",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100207030",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cundiff Family Chiropractic, PSC
- Kerry Darin Cundiff, DC
- Anne Marie Davis, ARNP
- Morgan Ellyse Dean, LCSW
- Haley Dotson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.