PAIN MANAGEMENT CENTERS OF AMERICA, PSC (NPI# 1407323918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407323918 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTERS OF AMERICA, PSC |
| Practice Address |
67 Lakeview Dr Paducah KY 42001-5619 |
| Mailing Address |
1101 Professional Blvd Ste 100 Evansville IN 47714-8018 |
| Practice Telephone | 8124777246 |
| Practice Fax Number | 8124777240 |
| Mailing Telephone | 8125731207 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | MAHENDRA R. SANAPATI (INCORPORATOR) |
| Authorized Official Telephone | 8124777246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 710053770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995912 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1710 Highway 121 Byp N Ste I, Murray, KY 42071-8925 | 2019-10-28 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1205300852 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 100, Cordova, TN 38018-4289 | 2019-01-16 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1568070274 | Pain Management Centers of America, Psc | Physician Assistant | 2201 Green Valley Rd, New Albany, IN 47150-4647 | 2020-07-20 |
| 1235773789 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2019-10-28 |
| 1326510181 | Pain Management Centers of America, Psc | Pain Medicine | 1717 High St, Hopkinsville, KY 42240-6300 | 2018-12-18 |
| 1346717857 | Pain Management Centers of America, Psc | Nurse Practitioner | 2330 Lynch Rd Ste 200, Evansville, IN 47711-2909 | 2018-11-01 |
| 1699242107 | Pain Management Centers of America, Psc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2018-11-01 |
| 1053888560 | Pain Management Centers of America, Psc | Pain Medicine | 200 Clinic Dr Fl 6, Madisonville, KY 42431-1661 | 2018-11-01 |
| Street Address |
67 LAKEVIEW DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851342372 | Riley D Love | Anesthesiology | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2006-05-12 |
| 1679038624 | Allison W Hagan | Registered Nurse | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2019-02-04 |
| 1154885549 | Kristen Vanderboegh Carter | Nurse Practitioner | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2019-01-30 |
| 1174097794 | Cessinee Nicole Thornton | Nurse Practitioner | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2019-01-16 |
| 1861923898 | Angela Marie Majors | Nurse Practitioner | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2017-03-22 |
| 1811437387 | Karrie R Williams | Nurse Practitioner | 67 Lakeview Dr, Paducah, KY 42001-5619 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679880686 | Pain Care of Western Kentucky, Pllc | Pain Medicine | 2404 New Holt Rd, Paducah, KY 42001-7455 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
| 1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
| 1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
| 1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.