KEN HOMOLYA, MD, LLC (NPI# 1770940249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770940249 |
| Entity Type | Organization |
| Organization Name | KEN HOMOLYA, MD, LLC |
| Other Organization Name | INTEGRITY PAIN CONSULTANTS |
| Practice Address |
406 N Whitney Ave Ste 2 Cookeville TN 38501-4243 |
| Mailing Address |
103 Hazel Path Ste 7 Hendersonville TN 37075-3893 |
| Practice Telephone | 9313721799 |
| Practice Fax Number | 9313721866 |
| Mailing Telephone | 6154315484 |
| Mailing Fax Number | 6154475959 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | KENNETH M. HOMOLYA (OWNER) |
| Authorized Official Telephone | 9313721799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Integrity Pain Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209534 | Ken Homolya, Md, LLC | Anesthesiology | 3443 Dickerson Pike Ste 590, Nashville, TN 37207-2520 | 2019-01-21 |
| Street Address |
406 N WHITNEY AVE STE 2 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154892974 | Courtney Leighann Hatfield | Nurse Practitioner | 406 N Whitney Ave Ste 2, Cookeville, TN 38501-4243 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1043433154 | David M Mcafee | Anesthesiology | 620 S Jefferson Ave, Ste 202, Cookeville, TN 38501-4035 | 2007-04-10 |
| 1558449538 | Jan Andries Herholdt | Anesthesiology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1114492626 | George A Mears IIi | Anesthesiology | 1934 Alcoa Hwy Ste D170, Knoxville, TN 37920-1525 | 2018-10-11 |
| 1316449903 | Ken Homolya Md LLC | Anesthesiology | 4230 Harding Pike Ste 807, Nashville, TN 37205-4900 | 2018-02-28 |
| 1629581574 | Appa LLC | Anesthesiology | 431 Park Village Rd Ste 103, Knoxville, TN 37923-3806 | 2017-11-14 |
| 1992234157 | Wellness First Pain Management | Anesthesiology | 5600 Brainerd Rd Ste B14, Chattanooga, TN 37411-5396 | 2017-06-09 |
| 1467849943 | Neeraj Sriram | Anesthesiology | 8115 Isabella Ln Ste 8, Brentwood, TN 37027-9110 | 2015-04-22 |
| 1306237938 | Lifelinc Pain Management Pllc | Anesthesiology | 308 Northcrest Dr, Springfield, TN 37172-3963 | 2015-02-18 |
| 1598195539 | Medmd Interventional Care PC | Anesthesiology | 314 Cool Springs Blvd Ste 100, Franklin, TN 37067-6420 | 2013-11-12 |
| 1144563032 | Pain Management Group, P.C. (the) | Anesthesiology | 320 New Shackle Island Rd, Hendersonville, TN 37075 | 2013-03-29 |
| 1033493184 | Middle Tennessee Pain Management | Anesthesiology | 604 N Chancery St, Mcminnville, TN 37110-2054 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.