KENTUCKY INTERVENTIONAL SPINE


Address: 236 W Main St, Suite 203, Danville, KY 40422-1876
Phone: 8592387746

KENTUCKY INTERVENTIONAL SPINE (NPI# 1407006760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407006760
Entity Type Organization
Organization Name KENTUCKY INTERVENTIONAL SPINE
Practice Address 236 W Main St
Suite 203
Danville
KY 40422-1876
Practice Telephone 8592387746
Mailing Telephone 8592387746
Enumeration Date 2008-09-23
Last Update Date 2011-12-14
Authorized Official Name RICK PELLANT (SOLE OWNER)
Authorized Official Telephone 8592387746
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
TP236 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 236 W MAIN ST
SUITE 203
City DANVILLE
State KY
Zip Code 40422-1876

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891805982 Robert Paul Knetsche Orthopaedic Surgery 236 W Main St, Suite 202, Danville, KY 40422-1876 2006-08-30
1699225631 Sleepers Anesthesia Services, Pllc Nurse Anesthetist, Certified Registered 236 W Main St, Suite 202, Danville, KY 40422-1876 2016-10-13
1598927709 Bluegrass Brace Shop, LLC Durable Medical Equipment & Medical Supplies 236 W Main St, Suite 201, Danville, KY 40422-1812 2008-06-28
1386806735 Central Kentucky Spine Surgery, Pllc Durable Medical Equipment & Medical Supplies 236 W Main St, Ste 202, Danville, KY 40422-1812 2008-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568098754 Healthstat Onsite Clinic Centre College Preventive Medicine 851 West Walnut St, Danville, KY 40422 2020-03-19
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1033677695 Shannon Holland Erwin Counselor 475 W Main St Suite 160, Danville, KY 40422 2019-03-03
1225556871 Fallon Michelle Carnes Counselor 106 Belinda Blvd., Danville, KY 40422 2017-09-05
1780124529 Natasha Taylor Counselor 461 South 4th Street, Danville, KY 40422 2017-02-27
1184088890 Elizabeth Love Counselor 108 Saint Josephs Ct, Danville, KY 40422 2016-04-08
1801274550 Jeremy Tate Johnson Specialist/Technologist 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 2015-05-14
1649602228 Susan Hale Couzens Dentist 435 Whirlaway Dr, Danville, KY 40422 2013-08-06
1265751200 William Paul Baas Ophthalmology 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 2010-05-28
1780823666 Karen Totsuka IIi Speech-Language Pathologist 642 Nth 3rd St, Danville, KY 40422 2009-02-17
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023124302 Danville Pain & Rehabilitation Medicine Center, LLC Physical Medicine & Rehabilitation 733 N Logan Ave, Danville, IL 61832-4378 2006-08-21
1386618676 Shaik Mohd L Ahmed Physical Medicine & Rehabilitation 16 Woodbine Lane, Danville, PA 17822-5208 2006-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942450762 Anthony E. Abang, M.d., Pllc. Physical Medicine & Rehabilitation 2005 N Dixie Avenue, Elizabethtown, KY 42701 2008-09-29
1134300932 Allen Maynard Physical Medicine & Rehabilitation 17401 Kentucky Hwy 80 East, Elkhorn City, KY 41522-8210 2007-11-20
1306907480 Our Lady Bellefonte Hospital, Inc Physical Medicine & Rehabilitation 1150 Saint Christopher Dr, Ashland, KY 41101-7055 2006-12-13
1427087394 Healing Journey Psc Physical Medicine & Rehabilitation 3025 Clay St, Paducah, KY 42001-4071 2006-07-02
1154389187 Rick Anthony Pellant Physical Medicine & Rehabilitation 100 London Mountain View Dr Fl 1, London, KY 40741-6668 2006-05-01
1548250525 Anthony E Abang Physical Medicine & Rehabilitation 2005 North Dixie Avenue, Elizabethtown, KY 42701-2526 2005-10-21
1699380436 Community Medical Associates, Inc. Physical Medicine & Rehabilitation 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 2020-09-09
1770935041 Laurel County Physiatry and Pain LLC Physical Medicine & Rehabilitation 130 Thompson Poynter Rd, Suite 3, London, KY 40741-7280 2016-07-11
1033564166 Kevin Carter Andres Physical Medicine & Rehabilitation 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 2016-04-26
1851684203 Kavita Manchikanti Physical Medicine & Rehabilitation 2831 Lone Oak Rd, Paducah, KY 42003-8041 2011-05-18
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Competitor

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City DANVILLE
Zip Code 40422

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Dataset Information

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.

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