Provider Type Icon

PAIN MANAGEMENT CONSULTANTS LLC NPI 1780745596


NPI Information

NPI: 1780745596
Provider Name: PAIN MANAGEMENT CONSULTANTS, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 18D1047482

Address:
1169 EASTERN PKWY
SUITE 2211
LOUISVILLE, KY
ZIP 40217
Phone: (502) 635-2775
Get Directions

PAIN MANAGEMENT CONSULTANTS, LLC 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. PAIN MANAGEMENT CONSULTANTS, LLC NPI is 1780745596. The provider is registered as an organization entity type.

The provider's business location address is:

1169 EASTERN PKWY
SUITE 2211
LOUISVILLE, KY
ZIP 40217-417
Phone: (502) 635-2775
Fax: (502) 371-0475

The provider's authorized official is Kathy Wolfson .
The authorized official title is Office Manager and has the following contact phone number (502) 635-2775.

The CLIA number assigned to this NPI record is 18D1047482 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 2/27/2024.


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
1261QP3300XClinic/CenterPainNo
2208VP0014XPain MedicineInterventional Pain Medicine22581KENTUCKYYes

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
165903056MEDICAIDKENTUCKY
264225816MEDICAIDKENTUCKY
378903192MEDICAIDKENTUCKY
47100130090MEDICAIDKENTUCKY
5DA3323OTHERKENTUCKYMEDICARE RR

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.