RICKY STANLEY COLLIS (NPI# 1144231291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144231291 |
| Entity Type | Individual |
| Full Name | RICKY STANLEY COLLIS |
| Credential | MD |
| Practice Address |
315 E Broadway Suite 250 Louisville KY 40202-3700 |
| Practice Telephone | 5025894765 |
| Practice Fax Number | 5025894799 |
| Mailing Telephone | 5025894765 |
| Mailing Fax Number | 5025894799 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
29814 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1058769 | 05 | |
| IN | 200137520A | 05 | |
| AETNA | 0005382490 | 01 | |
| ANTHEM | 000000043722 | 01 | |
| KY | 64298144 | 05 |
| Street Address |
315 E BROADWAY SUITE 250 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234259 | Charles B Florence | Registered Nurse | 315 E Broadway, Suite 195, Louisville, KY 40202-3700 | 2005-09-07 |
| 1114550084 | Amanda Rose Lyons | Nurse Practitioner | 315 E Broadway, Louisville, KY 40202-3700 | 2020-02-19 |
| 1306488697 | Nancy Bogard | Registered Nurse | 315 E Broadway, Louisville, KY 40202-3700 | 2019-10-08 |
| 1124516729 | Katelin Ann Winiger | Nurse Practitioner | 315 E Broadway, Louisville, KY 40202 | 2018-04-29 |
| 1710412077 | Jordan Hatchett | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2017-04-25 |
| 1104275031 | Beth Long | Nurse Practitioner | 315 E Broadway, Suite 310, Louisville, KY 40202-3700 | 2016-06-10 |
| 1801251715 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 315 E Broadway, #195, Louisville, KY 40202-3700 | 2015-12-18 |
| 1124403589 | Rachel Connors | Pharmacist | 315 E Broadway, Suite 50, Louisville, KY 40202-3700 | 2015-07-28 |
| 1740661008 | Katherine Culbertson | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2015-06-12 |
| 1093145922 | Nancee Rae Spillman | Nurse Practitioner | 315 E Broadway, Suite 104, Louisville, KY 40202-3700 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342751 | Kentucky Pain Management Psc | Pain Medicine | 1939 Goldsmith Ln Ste 117, Louisville, KY 40218-3176 | 2017-01-17 |
| 1114276789 | Kentucky Pain Associates, Pllc | Pain Medicine | 222 South 1st Street, Suite 300, Louisville, KY 40202 | 2012-08-29 |
| 1588615777 | Advanced Pain Management Center, Psc | Pain Medicine | 1170 E. Broadway, Suite 300, Louisville, KY 40204-1761 | 2006-05-13 |
| 1598112294 | Nwh Medical Center Inc. | Pain Medicine | 1017 E South Boulder Rd, Suite A., Louisville, CO 80027-2563 | 2016-05-23 |
| 1679837298 | Skye Integrative Care | Pain Medicine | 2107 Weber Ave, Louisville, KY 40205-2110 | 2012-06-28 |
| 1285917104 | Highland Neurology & Injury Associates, Psc | Pain Medicine | 4123 Taylor Blvd, Louisville, KY 40215-2341 | 2011-09-27 |
| 1831487289 | Ccc of Northern Colorado Pllc | Pain Medicine | 1124 W Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2011-07-19 |
| 1477560530 | Dean Stanley Collis | Pain Medicine | 315 E Broadway, Ste 250, Louisville, KY 40202-3700 | 2006-08-02 |
| 1275549842 | Interventional Rehabilitation of Kentucky, P.s.c | Pain Medicine | 315 E Broadway, Suite 250, Louisville, KY 40202-3700 | 2006-08-01 |
| 1417927229 | Lawrence H Peters | Pain Medicine | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2006-01-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.