Organization
CUMBERLAND ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Active
Organization
CUMBERLAND ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M. PAGE' M.D. (PRESIDENT OWNER)
(606) 864-0770
Entity
Organization
Contact information
Practice address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Mailing address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
00308
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164304800
WORKERS COMPENSATION
—
05
—
65933327
—
KY
05
—
7890447100
—
KY
05
—
95901328
—
KY
01
—
CB6337
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
04/13/2009
Update your record
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