PAIN CARE SURGERY OF LOUISVILLE LLC NPI 1306503057

NPI Information

  • NPI: 1306503057
  • Provider Name: PAIN CARE SURGERY OF LOUISVILLE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CENTER FOR SPECIALTY SURGERY OF LOUISVILLE
  • CLIA Number: 18D1106823
  • Address: 6400 DUTCHMANS PKWY STE 60
    LOUISVILLE, KY
    ZIP 40205
  • Phone: (502) 780-6880

Map and Directions

Get Directions

NPI Details

PAIN CARE SURGERY OF LOUISVILLE, LLC is an ambulatory surgical clinic center in Louisville, KY. PAIN CARE SURGERY OF LOUISVILLE, LLC NPI is 1306503057. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Specialty Surgery Of Louisville.

The provider's business location address is:

6400 DUTCHMANS PKWY STE 60
LOUISVILLE, KY
ZIP 40205-341
Phone: (502) 780-6880

The provider's authorized official is Jessica Levy .
The authorized official title is Chief Of Staff and has the following contact phone number (512) 584-8404.

The CLIA number assigned to this NPI record is 18D1106823 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/7/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100978410MEDICAIDKENTUCKY

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI