Active NPI
S and R Medical Enterprises, LLC
- Pain Medicine Physician
- Georgetown, KY
National Provider Identifier
1235438151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- S AND R MEDICAL ENTERPRISES, LLC
- Doing business as
- Central Kentucky Bariatric and Pain Management
- Practice address
- 100 Eastside Dr
Suite B
Georgetown, KY 40324-9797 - Phone
- (502) 863-0571
- Fax
- (502) 863-5062
- NPI assigned
- Mar 17, 2011
- 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
- Mr. Ernest Willaim Singleton, REGISTERED NURSE
- Title
- Owner
- Phone
- (502) 863-0571
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | |||
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
100 Eastside Dr
Suite B
Georgetown, KY 40324-9797
Mailing address
100 Eastside Dr
Suite B
Georgetown, KY 40324-9797
Phone (502) 863-0571
Other names 1
- Central Kentucky Bariatric and Pain Management
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1235438151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EASTSIDE DR",
"address_2": "SUITE B",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249797",
"telephone_number": "502-863-0571",
"fax_number": "502-863-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EASTSIDE DR",
"address_2": "SUITE B",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249797",
"telephone_number": "502-863-0571",
"fax_number": "502-863-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S AND R MEDICAL ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "WILLAIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-863-0571",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pain Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Kentucky Bariatric and Pain Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.