KENTUCKIANA PAIN SPECIALISTS PSC (NPI# 1992978365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992978365 |
| Entity Type | Organization |
| Organization Name | KENTUCKIANA PAIN SPECIALISTS PSC |
| Practice Address |
3710 Chamberlain Ln Ste A Louisville KY 40241-2002 |
| Mailing Address |
Po Box 24261 Louisville KY 40224-0261 |
| Practice Telephone | 5029954004 |
| Practice Fax Number | 5029335559 |
| Mailing Telephone | 5029954004 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MS. RADHIKA NAIR (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5029954004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 6922560001 | KY | Suppliers |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2831 S Hurstbourne Pkwy, Suite A, Louisville, KY 402204112 | 5029954004 | 5029335559 |
| Street Address |
3710 CHAMBERLAIN LN STE A |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878366 | Derbytown Healthcare LLC | Home Health | 3710 Chamberlain Ln Ste A, Louisville, KY 40241-2002 | 2020-07-17 |
| 1487139523 | Stephanie Uphold | Specialist | 3710 Chamberlain Ln Ste A, Louisville, KY 40241-2002 | 2018-09-25 |
| 1285119339 | Radhika Nair | Specialist | 3710 Chamberlain Ln Ste A, Louisville, KY 40241-2002 | 2018-09-25 |
| 1225513377 | April L Hall | Specialist | 3710 Chamberlain Ln Ste A, Louisville, KY 40241-2002 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| 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 |
|---|---|---|---|---|
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 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 |
| 1265525653 | Bill Walker Haney | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2006-09-30 |
| 1467441915 | Larry L Zhou | Pain Medicine | 1230 S Hurstbourne Pkwy, Unit 120, Louisville, KY 40222-5757 | 2005-10-18 |
| 1073134664 | Commonwealth Pain Associates Pllc | Pain Medicine | 225 Executive Park, Louisville, KY 40207-4202 | 2020-05-05 |
| 1396120820 | Gml Pain Md Psc | Pain Medicine | 11300 Maple Brook Dr, Louisville, KY 40241-2080 | 2015-07-27 |
| 1003195983 | Bluegrass Pain Consultants Pllc | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2011-08-10 |
| 1790096980 | Brandon Michael Sutton | Pain Medicine | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2010-06-23 |
| 1124356811 | Brigid M Buckman | Pain Medicine | 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223-4154 | 2009-11-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on KENTUCKIANA PAIN SPECIALISTS 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.