Active NPI
Innovative Gasworks
- Anesthesiology Physician
- Paducah, KY
National Provider Identifier
1023966595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- INNOVATIVE GASWORKS
- Practice address
- 1130 Lone Oak Rd
Paducah, KY 42003-4525 - Phone
- (270) 415-0245
- NPI assigned
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dave Hoffman
- Title
- Director
- Phone
- (270) 415-0245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1130 Lone Oak Rd
Paducah, KY 42003-4525
Mailing address
1130 Lone Oak Rd
Paducah, KY 42003-4525
Phone (270) 415-0245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260622002047 | KY | Part B Supplier - Clinic/Group Practice | 2961975958 |
Receives reassigned benefits from 3 practitioners Practice locations: Paducah, KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1023966595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034525",
"telephone_number": "270-415-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034525",
"telephone_number": "270-415-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE GASWORKS",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "270-415-0245"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.