Cardinal Medical Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARDINAL MEDICAL GROUP, LLC

Practice address

515 Ogden St Ste C
Somerset, KY 42501-1736

Phone

(606) 305-5558

Fax

(888) 818-6245

NPI assigned

Aug 22, 2017

Last updated

Oct 7, 2021By 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. Jeffrey B Pierce

Title

President

Phone

(606) 305-5558

Specialties & licenses 1

Addresses

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.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1639695539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OGDEN ST STE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011736",
            "telephone_number": "606-305-5558",
            "fax_number": "888-818-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OGDEN ST STE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011736",
            "telephone_number": "606-305-5558",
            "fax_number": "888-818-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-305-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Lee Campbell
• Lesley N Campbell
• Meghan Campbell
• Jessica Cannada
• Capital Anesthesia Solutions of Kentucky LLC
• Carehere LLC
• Jennifer Ann Carmical, PHARMD
• Shanae Lucinda Carpenter, LPCC
• Dana Carrera, LPCC
• William E Carroll, DMD, MS

• Durable Medical Equipment & Medical Supplies in Somerset, KY
• Providers in Somerset, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.