OrganizationActive
Lake Cumberland Physician Practices
NPI 1417214669 · Surgery Physician · Somerset, KY
Lake Cumberland Physician Practices is a Surgery Physician organization in Somerset, KY (NPI 1417214669).
Provider details
- NPI number
- 1417214669
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Vaughn, Vice President(615) 372-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
154 Bogle Office Park Dr
Suite a
Somerset, KY 42503-2810
Phone: (606) 425-4695
Fax: (606) 425-4696
Street-level locationGet directions
Mailing address
Po Box 719
Somerset, KY 42502-0719
Other names (DBA / former)
- Doing business as
- Lake Cumberland Weight Loss Physicians
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2016-10-21
Frequently asked questions
- What is Lake Cumberland Physician Practices's NPI number?
- Lake Cumberland Physician Practices's National Provider Identifier (NPI) is 1417214669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Cumberland Physician Practices?
- Lake Cumberland Physician Practices is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Cumberland Physician Practices located?
- Lake Cumberland Physician Practices's practice location on file with NPPES is 154 Bogle Office Park Dr, Somerset, KY 42503-2810.
- What is Lake Cumberland Physician Practices's phone number?
- The practice phone number listed in the NPPES registry for Lake Cumberland Physician Practices is (606) 425-4695.
- Who is the authorized official for Lake Cumberland Physician Practices?
- The authorized official listed on Lake Cumberland Physician Practices's NPPES record is Timothy Vaughn, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Cumberland Physician Practices's NPI active?
- Yes — Lake Cumberland Physician Practices's NPI (1417214669) is active in the NPPES registry as of the last update on 2016-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.