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EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS PLLC NPI 1043576572


NPI Information

NPI: 1043576572
Provider Name: EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS, PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4203 SPRINGHURST BLVD
SUITE 101
LOUISVILLE, KY
ZIP 40241
Phone: (502) 836-1171
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EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS, PLLC is a pain medicine anesthesiology in Louisville, KY. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS, PLLC NPI is 1043576572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4203 SPRINGHURST BLVD
SUITE 101
LOUISVILLE, KY
ZIP 40241-140
Phone: (502) 836-1171

The provider's authorized official is Bill Haney .
The authorized official title is Owner and has the following contact phone number (502) 836-1171.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 1/3/2017.


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
1103TC0700XPsychologistClinicalNo
2207LP2900XAnesthesiologyPain MedicineYes
3363L00000XNurse PractitionerNo

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
1K041231MEDICARE PINKENTUCKY
27100199990MEDICAIDKENTUCKY

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: 11/14/2023

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.