Organization Active NPI

Capitol Pain of Kentucky, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
National Provider Identifier
1053807206
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CAPITOL PAIN OF KENTUCKY, PLLC
Practice address
3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299
Phone
(512) 467-7246
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pat Harrell
Title
Revenue Cycle
Phone
(803) 229-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3841 Ruckriegel Pkwy Ste 104
Louisville, KY 40299

Mailing address

7951 Shoal Creek Blvd
Austin, TX 78757-7534
Phone (512) 467-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1053807206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577534",
            "telephone_number": "512-467-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 RUCKRIEGEL PKWY STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "512-467-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PAIN OF KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "REVENUE CYCLE",
        "authorized_official_telephone_number": "803-229-5366"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.