CPO PSC (NPI# 1720090525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720090525 |
| Entity Type | Organization |
| Organization Name | CPO PSC |
| Practice Address |
4402 Churchman Ave Suite 404 Louisville KY 40215-1190 |
| Mailing Address |
Po Box 950103 Louisville KY 40295-0103 |
| Practice Telephone | 5023634156 |
| Practice Fax Number | 5023634158 |
| Mailing Telephone | 5023634156 |
| Mailing Fax Number | 5023634158 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | STACIE QUANSAH (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5023634156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 31716 | KY | Suppliers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5222 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
31716 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65900961 | 05 | |
| KY | 78903531 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3999 Dutchmans Ln Ste 4c, Louisville, KY 402074745 | 5026183606 | 5026183842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316285661 | Cpo Psc | Pharmacy | 4402 Churchman Ave Ste 404, Louisville, KY 40215-3102 | 2013-01-22 |
| Street Address |
4402 CHURCHMAN AVE SUITE 404 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424321 | Joel Philip Garmon | Surgery | 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 | 2005-06-01 |
| 1629523048 | Cynthia Byers | Nurse Practitioner | 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 | 2016-08-16 |
| 1780047456 | Distler, Huntington & Blair Psc | Optometrist | 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 | 2016-03-31 |
| 1790143295 | Julia L Staib | Nurse Practitioner | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2016-01-29 |
| 1306218805 | Charna E Gaither | Nurse Practitioner | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2015-10-22 |
| 1255703922 | Michelle Sims | Nurse Practitioner | 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 | 2015-10-21 |
| 1609246156 | Elizabeth Mann Gasser | Physician Assistant | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2015-09-28 |
| 1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
| 1417366279 | Louisville & So Indiana Pulmonary Care | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-06 |
| 1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342751 | Kentucky Pain Management Psc | Pain Medicine | 1939 Goldsmith Ln Ste 117, Louisville, KY 40218-3176 | 2017-01-17 |
| 1114276789 | Kentucky Pain Associates, Pllc | Pain Medicine | 222 South 1st Street, Suite 300, Louisville, KY 40202 | 2012-08-29 |
| 1588615777 | Advanced Pain Management Center, Psc | Pain Medicine | 1170 E. Broadway, Suite 300, Louisville, KY 40204-1761 | 2006-05-13 |
| 1598112294 | Nwh Medical Center Inc. | Pain Medicine | 1017 E South Boulder Rd, Suite A., Louisville, CO 80027-2563 | 2016-05-23 |
| 1679837298 | Skye Integrative Care | Pain Medicine | 2107 Weber Ave, Louisville, KY 40205-2110 | 2012-06-28 |
| 1285917104 | Highland Neurology & Injury Associates, Psc | Pain Medicine | 4123 Taylor Blvd, Louisville, KY 40215-2341 | 2011-09-27 |
| 1831487289 | Ccc of Northern Colorado Pllc | Pain Medicine | 1124 W Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2011-07-19 |
| 1144231291 | Ricky Stanley Collis | Pain Medicine | 315 E Broadway, Suite 250, Louisville, KY 40202-3700 | 2006-08-11 |
| 1477560530 | Dean Stanley Collis | Pain Medicine | 315 E Broadway, Ste 250, Louisville, KY 40202-3700 | 2006-08-02 |
| 1275549842 | Interventional Rehabilitation of Kentucky, P.s.c | Pain Medicine | 315 E Broadway, Suite 250, Louisville, KY 40202-3700 | 2006-08-01 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on CPO PSC.
| 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.