Provider Demographics
NPI:1427242544
Name:NORMAN A. CUMMINGS, M.D.
Entity type:Organization
Organization Name:NORMAN A. CUMMINGS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-479-9700
Mailing Address - Street 1:1169 EASTERN PKWY
Mailing Address - Street 2:SUITE 3451
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1417
Mailing Address - Country:US
Mailing Address - Phone:502-479-9700
Mailing Address - Fax:502-479-9705
Practice Address - Street 1:1169 EASTERN PKWY
Practice Address - Street 2:SUITE 3451
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1417
Practice Address - Country:US
Practice Address - Phone:502-479-9700
Practice Address - Fax:502-479-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY17722207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000048224OtherANTHEM
KY6417723Medicaid
KY1375901Medicare PIN
KYC66578Medicare UPIN
KY6417723Medicaid
KY0193080001Medicare NSC