MR. HAMMAD MALIK (NPI# 1629063904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629063904 |
| Entity Type | Individual |
| Full Name | MR. HAMMAD MALIK |
| Credential | M.D. |
| Practice Address |
1024 Ival James Blvd Suite C Richmond KY 40475 |
| Practice Telephone | 8593535907 |
| Practice Fax Number | 8593535683 |
| Mailing Telephone | 8593535907 |
| Mailing Fax Number | 8593535683 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 37055 | KY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
37055 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
37055 | KY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
37055 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64055023 | 05 | |
| WV | 3004482000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1024 Ival James Blvd, Suite C, Richmond, KY 404757622 | 8593535907 | 8593535683 |
| 340 Thomas More Pkwy Ste 260, Crestview Hills, KY 410175117 | 8599570700 |
| Street Address |
1024 IVAL JAMES BLVD SUITE C |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518297399 | Anesthesia & Pain Care Services, Pllc | Pain Medicine | 1024 Ival James Blvd, Suite C, Richmond, KY 40475-7622 | 2009-12-30 |
| 1548594716 | Michael Hamilton | Physician Assistant | 1024 Ival James Blvd, Suite C, Richmond, KY 40475-8174 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1972971133 | Physical Medicine Associates, Ltd | Pain Medicine | 7858 Shrader Rd, Suite 1, Richmond, VA 23294-4222 | 2015-09-04 |
| 1518297399 | Anesthesia & Pain Care Services, Pllc | Pain Medicine | 1024 Ival James Blvd, Suite C, Richmond, KY 40475-7622 | 2009-12-30 |
| 1609012905 | Benjamin Seeman Do LLC | Pain Medicine | 6900 Forest Ave, Suite 310, Richmond, VA 23230-1730 | 2008-12-17 |
| 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.