Lake Cumberland Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

LAKE CUMBERLAND RHEUMATOLOGY PLLC

Practice address

3897 Charlestown Rd
New Albany, IN 47150-9562

Phone

(502) 495-3665

Fax

(502) 874-5536

NPI assigned

Nov 1, 2024

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
  • Lexington, KY
  • NPI 1912720665
  NPD tax ID

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": "1992528640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509562",
            "telephone_number": "502-495-3665",
            "fax_number": "502-874-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509562",
            "telephone_number": "502-495-3665",
            "fax_number": "502-874-5536"
        }
    ],
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Chirumamilla, MD, PC
• Ladha PSC
• Zahid Amirali Ladha, DPM.,F.A.C.F.A.S.
• Donna Casey Laduke, RRT
• Maria Thalia Teves Lagtapon, PT
• Lake Cumberland Rheumatology, PLLC
• Andrea Distler Lamm, DPT
• Courtney E Land, DMIN LMHC LMFT
• Christina L Lane, M.D.
• Natalie N. Lane, FNP

• All providers in New Albany, IN
• Rheumatology Physician in Indiana

• 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.