COOSA PAIN AND WELLNESS (NPI# 1093147951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093147951 |
| Entity Type | Organization |
| Organization Name | COOSA PAIN AND WELLNESS |
| Practice Address |
3804 Rainbow Dr Rainbow City AL 35906-3051 |
| Mailing Address |
Po Box 266 Gadsden AL 35902-0266 |
| Practice Telephone | 2569522200 |
| Practice Fax Number | 2569522202 |
| Mailing Telephone | 2564426181 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | THOMAS KEVIN LACKEY (OWNER) |
| Authorized Official Telephone | 2564426181 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3804 RAINBOW DR |
| City | RAINBOW CITY |
| State | AL |
| Zip Code | 35906-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060247 | Thomas Kevin Lackey | Anesthesiology | 3804 Rainbow Dr, Rainbow City, AL 35906 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720563026 | Alabama Home Health Care Providers, Inc | Registered Nurse | 3542 Rainbow Drive, Rainbow City, AL 35906 | 2018-10-02 |
| 1578061271 | Restoring Hope Professional Counseling, LLC | Counselor | 3224 Rainbow Drive, Suite 4, Rainbow City, AL 35906 | 2018-01-28 |
| 1881888527 | April R. King | Optometrist | 115 W Grand Ave Ste 120, Rainbow City, AL 35906 | 2007-09-05 |
| 1609960269 | Sheila Prince Raines | Pharmacist | 3331 Rainbow Drive, Rainbow City, AL 35906 | 2006-10-03 |
| 1447365721 | Alabama Family Foot Clinic PC | Podiatrist | 107 Church Street, Rainbow City, AL 35906 | 2006-08-20 |
| 1740218890 | Regina K. Phillips | Family Medicine | 113 Rainbow Industrial Blvd, Suite B, Rainbow City, AL 35906 | 2006-06-29 |
| 1689610727 | Myrtell Lorraine Cantrell | Physician Assistant | 99 Boyd Place, Rainbow City, AL 35906 | 2006-06-20 |
| 1750792024 | Camellia Hospice of Northeast Alabama, LLC | Hospice Care, Community Based | 101 Church St, Rainbow City, AL 35906 | 2014-05-08 |
| 1003380668 | Kimberly Crawford | Speech-Language Pathologist | 3803 Rainbow Dr, Rainbow City, AL 35906-3025 | 2019-01-17 |
| 1629695267 | Faith Frost | Speech-Language Pathologist | 3803 Rainbow Dr, Rainbow City, AL 35906-3025 | 2020-06-30 |
| Find all providers in zip 35906 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507013 | Cullman Regional Painservices LLC | Anesthesiology | 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2019-03-13 |
| 1992223838 | Pain Specialists Practice Management, Inc. | Anesthesiology | 300 Medical Center Dr Ste 503, Gadsden, AL 35903-1157 | 2017-08-30 |
| 1508253550 | Ballard Pain & Wellness Inc | Anesthesiology | 7067 Veterans Pkwy Ste 210, Pell City, AL 35125-5128 | 2015-04-16 |
| 1558506881 | Medical Pain Management,pc | Anesthesiology | 701 Leighton Avenue, Anniston, AL 35207-5745 | 2008-12-16 |
| 1134332539 | William Ricardo Montiel | Anesthesiology | 554 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2007-05-08 |
| 1902987431 | Ahmad Shikhtholth | Anesthesiology | 2208 Danville Rd Sw, Suite G, Decatur, AL 35601-4603 | 2006-10-18 |
| 1225041718 | Eric Robinson | Anesthesiology | 829 North Dean Rd., Suite 100, Auburn, AL 36830 | 2006-08-14 |
| 1841240926 | James E Flowers Md PC | Anesthesiology | 400 North Edwards St, Anesthesia Dept, Enterprise, AL 36330 | 2006-05-11 |
| 1073590170 | Hugh Gilbert Maddox Jr. | Anesthesiology | 1309 Quintard Ave, Anniston, AL 36201-4619 | 2005-12-29 |
| 1073599023 | Unal Tutak | Anesthesiology | 513 Brookwood Blvd, Suite 101, Birmingham, AL 35209-6862 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
| City | RAINBOW CITY |
| Zip Code | 35906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.