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BLUEGRASS PAIN CONSULTANTS PLLC NPI 1730352972


NPI Information

NPI: 1730352972
Provider Name: BLUEGRASS PAIN CONSULTANTS PLLC

Former Legal Business Name: PAIN MANAGEMENT GROUP PLLC

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
10241 CHAMPION FARMS DR
LOUISVILLE, KY
ZIP 40241
Phone: (502) 423-1021
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BLUEGRASS PAIN CONSULTANTS PLLC is an interventional pain medicine pain medicine in Louisville, KY. The provider is 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. BLUEGRASS PAIN CONSULTANTS PLLC NPI is 1730352972. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pain Management Group Pllc.

The provider's business location address is:

10241 CHAMPION FARMS DR
LOUISVILLE, KY
ZIP 40241-150
Phone: (502) 423-1021
Fax: (502) 423-1416

The provider's authorized official is Christopher L. Nelson .
The authorized official title is Owner and has the following contact phone number (502) 423-1021.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 6/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100038680MEDICAIDKENTUCKY
27100034210MEDICAIDKENTUCKY
300635MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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