Cumberland Gi, PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CUMBERLAND GI, PSC

Practice address

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727

Phone

(606) 528-6700

Fax

(606) 528-6513

NPI assigned

Sep 2, 2005

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Simons, MDNPI 1265433015

Title

Owner/President

Phone

(606) 528-6700

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Michael Evan Simons, MD

  • Gastroenterology Physician
  • Corbin, KY
  • NPI 1265433015
  Medicare reassignment Care Compare group NPD Authorized official
• Janice Hedayati, NP

  • Nurse Practitioner
  • Corbin, KY
  • NPI 1861648065
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1578557708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012727",
            "telephone_number": "606-528-6700",
            "fax_number": "606-528-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012727",
            "telephone_number": "606-528-6700",
            "fax_number": "606-528-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND GI, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "606-528-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65932063",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100001390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Cruickshank
• Steve Kirby Crumpler, BS
• Cumberland Denture Dental Center
• Cumberland Falls Family Dentistry
• Cumberland Foot and Ankle Center
• Cumberland River Behavioral Health, Inc
• Cumberland Valley Surgical Center, LLC
• Amy Lyn Cummins, BS
• Aimee Sue Cunningham
• Jeffrey L Cunningham, CRNA

• Gastroenterology Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.