Kathy Amanda Long (NPI# 1407929870, PAC ID# 0840244414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407929870 |
| PAC ID by PECOS | 0840244414 |
| Professional Enrollment ID | I20050307000341 |
| Full Name | Kathy Amanda Long |
| Organization Legal Name | PAIN MANAGEMENT CENTERS OF AMERICA PSC |
| Address |
67 Lakeview Dr Paducah KY 42001-5619 |
| Phone Number | 2705548373 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769727114 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180102 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 67 Lakeview Dr, Paducah, KY 42001-5619 | 2705548373 | PAIN MANAGEMENT CENTERS OF AMERICA PSC |
| Organization Legal Name | PAIN MANAGEMENT CENTERS OF AMERICA PSC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cessinee Nicole Thornton | Nurse Practitioner | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Yusuf Rashada | Interventional Pain Management | Pain Management Centers of America Psc | 1101 Professional Blvd, Suite 100, Evansville, IN 47714-8018 |
| Yuri Khibkin | Interventional Pain Management | Pain Management Centers of America Psc | 2330 Lynch Rd, Suite 100, Evansville, IN 47711-2998 |
| James P Schroeder | Clinical Social Worker | Pain Management Centers of America Psc | 5320 Weston Rd, B, Evansville, IN 47712-3701 |
| Randall Lee Oliver | Interventional Pain Management | Pain Management Centers of America Psc | 1013 N Main St, Huntingburg, IN 47542-1049 |
| Laxmaiah Manchikanti | Pain Management | Pain Management Centers of America Psc | 108 Airway Dr, Marion, IL 62959-5841 |
| Glenn Allen Gehrke | Pain Management | Pain Management Centers of America Psc | 8001 Centerview Pkwy, Suite 215, Cordova, TN 38018-4276 |
| Mahendra R Sanapati | Interventional Pain Management | Pain Management Centers of America Psc | 2330 Lynch Rd, Suite 100, Evansville, IN 47711-2998 |
| Octavian Sharp | Nurse Practitioner | Pain Management Centers of America Psc | 8001 Centerview Pkwy, Suite 215, Cordova, TN 38018-4276 |
| Samuel S Murala | Physical Medicine and Rehabilitation | Pain Management Centers of America Psc | 1101 Professional Blvd, Suite 100, Evansville, IN 47714-8018 |
| Street Address |
67 LAKEVIEW DR |
| City | PADUCAH |
| State | KY |
| Zip | 42001-5619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cessinee Nicole Thornton | Nurse Practitioner | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Yogesh B Malla | Interventional Pain Management | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Kristal Wilson | Interventional Pain Management | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Allison W Hagan | Nurse Practitioner | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Riley D Love | Interventional Pain Management | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Angela Majors | Nurse Practitioner | Pain Management Centers of America Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Julie Ann Heeb | Nurse Practitioner | Pmcp, Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Patricia A Burks | Physical Therapy | Pmcp, Psc | 67 Lakeview Dr, Paducah, KY 42001-5619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan E Darnell | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Sondra A Jones | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Devin Michael Lewis | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Craig D Keene | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Leah E Fondaw | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Pamela G Owen | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Fumiko Hattori | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Ronnie Edward Golden | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Elizabeth A Fleming | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Kiandra K Hebert | Psychologist, Clinical | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 102, Paducah, KY 42001-0713 |
| Find all physicians in zip 42001 | |||
| City | PADUCAH |
| Zip Code | 42001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PADUCAH + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.