Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Cumberland Physician Practices, LLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1053550046

Lake Cumberland Physician Practices, LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Somerset, Kentucky. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Tradepark Dr Ste B
Somerset, KY 42503-3454
Phone: (606) 451-0300
Fax: (606) 451-0595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1053550046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Miller — Director · (615) 920-7514
Other names Cardiothoracic Surgical Associates Of Lake Cumberland
NPI enumeratedFebruary 13, 2009
Last updated in NPPESSeptember 27, 2017
Mailing address120 Tradepark Dr, Suite B, Somerset, KY 42503-3454

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