TWIN LAKES ANESTHESIOLOGY AND PAIN MANAGEMENT ASSOCIATES (NPI# 1114968005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114968005 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES ANESTHESIOLOGY AND PAIN MANAGEMENT ASSOCIATES |
| Practice Address |
904 Wallace Ave Leitchfield KY 42754-1418 |
| Practice Telephone | 2702599470 |
| Practice Fax Number | 2702591662 |
| Mailing Telephone | 2702599470 |
| Mailing Fax Number | 2702591662 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | MRS. JANET L. LANGDON (OFFICE MANAGER) |
| Authorized Official Telephone | 2702599470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
TP490 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 274629400 | 01 |
| KY | PASSPORT | 50011448 | 01 |
| KY | BLUE PREFERRED | 000000485100 | 01 |
| Street Address |
904 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033408729 | John Anthony Lyons | Nurse Anesthetist, Certified Registered | 904 Wallace Ave, Leitchfield, KY 42754-1418 | 2011-04-01 |
| 1285960591 | Richelle Lynn Humphrey | Nurse Anesthetist, Certified Registered | 904 Wallace Ave, Leitchfield, KY 42754-1418 | 2009-10-20 |
| 1184703688 | Merry Lynn Green | Nurse Anesthetist, Certified Registered | 904 Wallace Ave, Leitchfield, KY 42754-1418 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| 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 |
|---|---|---|---|---|
| 1366797201 | Shawn Sikka | Anesthesiology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119570 | Commonwealth Integrity Pain Center Pllc | Anesthesiology | 3260 Blazer Pkwy Ste 102, Lexington, KY 40509-2116 | 2016-12-30 |
| 1447645403 | Vinayak Nadar | Anesthesiology | 1013 N Dupont Sq Ste A, Louisville, KY 40207-4612 | 2015-04-06 |
| 1114311073 | William Bickers | Anesthesiology | 530 S Jackson St Rm C2a01, Department of Anesthesiology and Perioperative Medicine, Louisville, KY 40202-1675 | 2015-03-27 |
| 1386088508 | Brooke Bauer | Anesthesiology | 2400 Eastpoint Pkwy Ste 410, Louisville, KY 40223-4154 | 2013-04-18 |
| 1811254105 | Thomas F Whealton | Anesthesiology | 1 Trillium Way Ste 111, Corbin, KY 40701-8727 | 2012-04-12 |
| 1962621656 | Magdalena Eva Kerschner | Anesthesiology | 906 Us Highway 68, Maysville, KY 41056-7100 | 2007-04-24 |
| 1952413015 | Heloise D Westbrook | Anesthesiology | 200 Clinic Dr Fl 6, Madisonville, KY 42431 | 2006-08-31 |
| 1255345955 | Leon B Briggs | Anesthesiology | 617 23rd St Ste 8a, Ashland, KY 41101-2845 | 2006-07-28 |
| 1003859885 | Ezekiel Akande | Anesthesiology | 355 Langdon St, Somerset, KY 42503-2792 | 2006-06-13 |
| 1750323366 | Central Kentucky Pain Professionals, Pllc | Anesthesiology | 2628 Wilhite Ct, Ste 101, Lexington, KY 40503-3327 | 2006-06-11 |
| Find all providers with the same taxonomy | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
Please comment or provide details below to improve the information on TWIN LAKES ANESTHESIOLOGY AND PAIN MANAGEMENT ASSOCIATES.
| 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.