NPIMap

Organization Active NPI

Cumberland Orthopaedic & Sports Medicine-Podiatry

  • Podiatrist
  • London, KY
National Provider Identifier
1730322181
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00308 Issued in KY
Legal business name
CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE-PODIATRY
Practice address
160 London Mountain View Dr
London, KY 40741-6601
Phone
(606) 864-0770
Fax
(606) 864-1461
NPI assigned
Apr 15, 2009
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND ORTHOPAEDICS & SPORTS MEDICINE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Mr. Jean M. Page', M.D.
Title
President Owner
Phone
(606) 864-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00308 KY Primary

Addresses

Primary practice location

160 London Mountain View Dr
London, KY 40741-6601

Mailing address

160 London Mountain View Dr
London, KY 40741-6601
Phone (606) 864-0770

Other identifiers 1

IdentifierTypeStateIssuer
7100064080MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Orthopaedic Sports Medicine-Podiatry4 organizations share this tax ID, including this one
Part of
Cumberland Orthopaedic Sports Medicine-Podiatry

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1730322181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416601",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416601",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE-PODIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND ORTHOPAEDICS & SPORTS MEDICINE, PLLC",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "PAGE'",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "606-864-0770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100064080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.