Active NPI
Kentucky Pain Associates, PLLC
- Pain Medicine Physician
- Louisville, KY
National Provider Identifier
1114276789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 42621
- Legal business name
- KENTUCKY PAIN ASSOCIATES, PLLC
- Practice address
- 222 South 1St Street
Suite 300
Louisville, KY 40202 - Phone
- (502) 855-3919
- Fax
- (502) 855-3918
- NPI assigned
- Aug 29, 2012
- 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
- Dr. Jason Lewis, M.D.
- Title
- Owner/Medical Director
- Phone
- (502) 855-3919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 42621 | KY | Primary |
Addresses
Primary practice location
222 South 1St Street
Suite 300
Louisville, KY 40202
Mailing address
222 South 1St Street
Suite 300
Louisville, KY 40202
Phone (502) 855-3919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016015 | Medicaid | VT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1114276789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SOUTH 1ST STREET",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-855-3919",
"fax_number": "502-855-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SOUTH 1ST STREET",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-855-3919",
"fax_number": "502-855-3918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENTUCKY PAIN ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "502-855-3919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "42621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016015",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Kentucky Orthopedic Rehabilitation, LLC
- Kentucky Orthopedic Rehabilitation, LLC
- Kentucky Orthopedic Specialists PLLC
- Kentucky Orthotic Providers, LLC
- Kentucky Pain & Rehab LLC
- Kentucky Pain Management PSC
- Kentucky Pediatric Ophthalmology and Strabismus, PLLC
- Kentucky Podiatry PLLC
- Kentucky Psychiatric and Mental Health Serivces, PLLC
- Kentucky Psychiatric Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.