DR. HENRY DANIEL BABENCO (NPI# 1922199330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922199330 |
| Entity Type | Individual |
| Full Name | DR. HENRY DANIEL BABENCO |
| Credential | M.D. |
| Practice Address |
1012 S Miles Ave Union City TN 38261-5432 |
| Mailing Address |
6350 Clinton Rd Paducah KY 42001-9394 |
| Practice Telephone | 7318849993 |
| Practice Fax Number | 7318842180 |
| Mailing Telephone | (270) 556-1630 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 37712 | KY | Allopathic & Osteopathic Physicians |
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
37712 | KY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
30242 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64063068 | 05 | |
| BCBS PIN | 000000361144 | 01 | |
| RAILROAD MEDICARE | P00279352 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Medical Center Dr, Ste 405, Paducah, KY 420037914 | 2704414750 | 2704414770 |
| Street Address |
1012 S MILES AVE |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992710800 | Family Cancer Center Pllc | Specialist | 1012 S Miles Ave, Union City, TN 38261 | 2006-07-29 |
| 1831753391 | Allison A Vallee | Nurse Practitioner | 1012 S Miles Ave, Union City, TN 38261-5432 | 2019-04-30 |
| 1750708301 | Kizer Clinic Pllc | Pain Medicine | 1012 S Miles Ave, Union City, TN 38261-5432 | 2014-03-20 |
| 1336473933 | Integrity Oncology, Pllc | Specialist | 1012 S Miles Ave, Union City, TN 38261-5432 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| 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 |
|---|---|---|---|---|
| 1659855252 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2018-09-19 |
| 1750708301 | Kizer Clinic Pllc | Pain Medicine | 1012 S Miles Ave, Union City, TN 38261-5432 | 2014-03-20 |
| 1649554759 | Pinnacle Pain Management, Pllc | Pain Medicine | 700 Sherrill St, Suite B, Union City, TN 38261-5891 | 2011-10-07 |
| 1700063849 | Varinder Dhillon | Pain Medicine | 510 43rd St, Union City, NJ 07087-2612 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257444 | Comprehensive Neurology Center Pllc | Pain Medicine | 5651 Frist Blvd Ste 413, Hermitage, TN 37076-2058 | 2018-08-29 |
| 1508245515 | Cameron Kluth | Pain Medicine | 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2015-05-22 |
| 1215354253 | Robert Winslow Caughey | Pain Medicine | 300 Steam Plant Rd Ste 410, Gallatin, TN 37066-3065 | 2014-03-27 |
| 1750680328 | Roane County Interventional Pain Management LLC | Pain Medicine | 1468 Gateway Ave, Rockwood, TN 37854-4143 | 2011-03-22 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1912938291 | Robert Alan Coles | Pain Medicine | 1012 Executive Dr, Hixson, TN 37343-3993 | 2006-07-05 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1639644917 | Comprehensive Neurology Center, Pllc | Pain Medicine | 415 Henslee Dr, Dickson, TN 37055-2166 | 2018-10-12 |
| 1376026310 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-09-14 |
| 1083194237 | Spectrum Pain Clinics Inc. | Pain Medicine | 23 Sandstone Cir, Jackson, TN 38305-2073 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 38261 |
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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.