Lake Cumberland Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

LAKE CUMBERLAND RHEUMATOLOGY PLLC

Practice address

101 Prosperous PL Ste 350
Lexington, KY 40509-1891

Phone

(859) 654-0160

Fax

(859) 712-9273

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By 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. Matt Rogers, MHA

Title

Ceo

Phone

(502) 495-3665

Specialties & licenses 2

Addresses

Tax ID family

Lake Cumberland PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lake Cumberland Rheumatology PLLC

  • Rheumatology Physician
  • New Albany, IN
  • NPI 1992528640
  NPD tax ID

Locations

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1912720665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091891",
            "telephone_number": "859-654-0160",
            "fax_number": "859-712-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091891",
            "telephone_number": "859-654-0160",
            "fax_number": "859-712-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-495-3665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Lahey
• Nolan Penn Lahmann
• Kristine Yoder Lain, MD
• Melanie Elizabeth Laine, PHARM.D.
• Kara Ashley Lairson
• James Lake
• Anita Lakes, LPP
• Diana L Lakes, RN CDCES
• Heather Leeann Lakes
• Matthew Lally, M.D.

• Rheumatology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Rheumatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.