SPORTS MEDICINE AND ORTHOPAEDIC CENTER OF LAKE CUMBERLAND
NPI 1700198884
Orthopaedic Surgery - Sports Medicine in Somerset, KY

Q: What is Lake Cumberland Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since July 06, 2010

353 BOGLE ST, SUITE C, SOMERSET, KY 42503(606) 678-2220(606) 451-0595 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Sports Medicine And Orthopaedic Center Of Lake Cumberland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS MEDICINE AND ORTHOPAEDIC CENTER OF LAKE CUMBERLAND (NPI 1700198884) is a healthcare organization registered as a sports medicine in Somerset, Kentucky and active in the NPI registry since July 2010. The organization lists Sara Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1700198884

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameLAKE CUMBERLAND PHYSICIAN PRACTICES LLC

Location Address353 BOGLE ST, SUITE CSomerset, KY 42503-2888

Mailing Address330 Seven Springs WayBrentwood, TN 37027 · (615) 920-7780 · Fax (615) 920-8775

Phone(606) 678-2220

Fax(606) 451-0595

Organization SubpartNo

Authorized OfficialSara MillerDirector · (615) 920-7514

Enumeration DateJuly 6, 2010

Last NPPES UpdateSeptember 27, 2017

✔ NPI 1700198884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

353 BOGLE ST, Somerset, KY 42503

Open in Google Maps ↗

Other Names 1

Doing Business AsSports Medicine And Orthopaedic Center Of Lake Cumberland

Other Identifiers 2

Medicaid7100136480KY

Medicare PINP100022773KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMARA B CRANFILL CCC/SLP

Speech-Language Pathologist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

Nurse Practitioner (Family)

353 BOGLE ST, SUITE A
SOMERSET, KY 42503

Pulaski County (606) 451-6005

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

Orthopaedic Surgery

353 BOGLE ST, SUITE B
SOMERSET, KY 42503

Pulaski County (606) 678-2663

MRS. NICOLE L BLEVINS OTR/L

Occupational Therapist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

MR. STEPHEN SIMS ATC

Specialist/Technologist (Athletic Trainer)

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

NAUTILUS HEALTH CARE GROUP, PLC

Preventive Medicine (Undersea and Hyperbaric Medicine)

353 BOGLE ST
SOMERSET, KY 42503

Pulaski County (606) 451-3820

DR. RICHARD BURNS CUNNINGHAM JR. MD

Orthopaedic Surgery (Sports Medicine)

353 BOGLE ST
SOMERSET, KY 42503

Pulaski County (606) 678-2220

MRS. ALLYSON MORGAN PT

Physical Therapist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Cumberland Physician Practices LLC's NPI number?

The NPI number for Lake Cumberland Physician Practices LLC is 1700198884. It was assigned to this organization in the NPPES registry on July 6, 2010. The provider is doing business as Sports Medicine And Orthopaedic Center Of Lake Cumberland.

Where is Lake Cumberland Physician Practices LLC located?

Lake Cumberland Physician Practices LLC is located at 353 Bogle St Suite C, Somerset, KY 42503. The listed phone number is (606) 678-2220.

What is Lake Cumberland Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Lake Cumberland Physician Practices LLC was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.