JACKSON PAIN MANAGEMENT CLINIC, PLLC (NPI# 1962704908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962704908 |
| Entity Type | Organization |
| Organization Name | JACKSON PAIN MANAGEMENT CLINIC, PLLC |
| Practice Address |
327 Briarcliff Ln Danville KY 40422-9789 |
| Practice Telephone | 8595832142 |
| Practice Fax Number | 8592360261 |
| Mailing Telephone | 8595832142 |
| Mailing Fax Number | 8592360261 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | ROBERT PAUL KNETSCHE (DIRECTOR) |
| Authorized Official Telephone | 8595833461 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
327 BRIARCLIFF LN |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043427362 | Danville Pain Management and Rehabilitation Institute, LLC. | Clinic/Center | 806 Sheridan St, Danville, IL 61832-3718 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871780 | Greater Kentucky Wellness Center LLC | Clinic/Center | 101 River Dr, Irvine, KY 40336-1117 | 2011-07-26 |
| 1679873400 | Caremore Pain Management | Clinic/Center | 420 Teays Br, Paintsville, KY 41240-8548 | 2010-10-27 |
| 1023346194 | St. John Neumanns Intergrated Pain Management | Clinic/Center | 1389 Highway 15 N., Jackson, KY 41339 | 2009-11-30 |
| 1972619641 | Pain Care Center | Clinic/Center | 310 S Limestone St, Lexington, KY 40508 | 2006-08-22 |
| 1124537204 | North Dixie Medical Center Pllc | Clinic/Center | 3502 Dixie Hwy, Louisville, KY 40216-5069 | 2017-09-21 |
| 1902329436 | Donald Douglas,md | Clinic/Center | 261 Ruccio Way Ste 190, Lexington, KY 40503-3566 | 2017-07-17 |
| 1124578703 | Pain Management Medicine | Clinic/Center | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2016-10-07 |
| 1568834786 | Deschner Medical Services LLC Deboss Neurology & Pain Clinic | Clinic/Center | 360 Amsden Ave, Specialty Suite, Versailles, KY 40383-1851 | 2015-10-27 |
| 1285984484 | Preston Medical Center, LLC | Clinic/Center | 5703 Preston Hwy, Suite B, Louisville, KY 40219-1305 | 2012-09-14 |
| 1265791057 | Somerset Regional Pain Center LLC | Clinic/Center | 355 Langdon St, Somerset, KY 42503-2792 | 2012-05-14 |
| 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.