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PMCP PSC NPI 1518016823


NPI Information

NPI: 1518016823
Provider Name: PMCP, PSC

Doing Business As: PAIN MANAGEMENT CENTER OF PADUCAH

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 18D2124835

Address:
2831 LONE OAK RD
PADUCAH, KY
ZIP 42003
Phone: (270) 554-8373
Get Directions

PMCP, PSC is an interventional pain medicine pain medicine in Paducah, 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. PMCP, PSC NPI is 1518016823. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pain Management Center Of Paducah.

The provider's business location address is:

2831 LONE OAK RD
PADUCAH, KY
ZIP 42003-041
Phone: (270) 554-8373
Fax: (270) 554-8987

The provider's authorized official is Laxmaiah Manchikanti .
The authorized official title is Ceo and has the following contact phone number (270) 554-8373.

The CLIA number assigned to this NPI record is 18D2124835 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 10/5/2011.


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
1367500000XNurse Anesthetist, Certified RegisteredNo
2207L00000XAnesthesiologyNo
3208VP0014XPain 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
1=========001MEDICAIDILLINOIS
2451520MEDICARE PINILLINOIS
34044MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYKY MEDICARE
4DE2530MEDICARE PINILLINOIS
56592880600MEDICAIDKENTUCKY
6CG4034MEDICARE 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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