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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
TP236 | KY | Allopathic & Osteopathic Physicians |
Street Address |
236 W MAIN ST SUITE 203 |
City | DANVILLE |
State | KY |
Zip Code | 40422-1876 |
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 |
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 |
Find all providers in zip 40422 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.