Search icon

CUMBERLAND GASTROENTEROLOGY, P.S.C.

Company claim

Is this your business?

Get access!

Company Details

Name: CUMBERLAND GASTROENTEROLOGY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 21 Jul 1997 (28 years ago)
Organization Date: 21 Jul 1997 (28 years ago)
Last Annual Report: 04 Sep 2020 (5 years ago)
Organization Number: 0436051
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 56 TOWER CIRCLE, SOMERSET, KY 42503
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
SAMIR COOK, MD Registered Agent

Shareholder

Name Role
Benjamin Bryson Shareholder
Samir Cook Shareholder
Todd Horn Shareholder

Incorporator

Name Role
OWEN MAAT MD Incorporator

President

Name Role
Samir Cook President

Secretary

Name Role
Benajmin Bryson Secretary

Vice President

Name Role
Todd Horn Vice President

Director

Name Role
Samir Cook Director
Todd Horn Director
Benjamin Bryson Director

National Provider Identifier

NPI Number:
1831505478

Authorized Person:

Name:
VICKI BURNETT
Role:
APRN
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6066776983

Form 5500 Series

Employer Identification Number (EIN):
311552575
Plan Year:
2019
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-09-04
Annual Report 2019-06-26
Annual Report 2018-04-11
Annual Report 2017-04-21

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State