Advanced Pain Medicine, PSC
Organization Active NPI Pain Medicine Physician · Lexington, KY
NPI 1245238492 · NPPES record last updated Oct 2, 2014
Key facts
- NPI
- 1245238492
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- ADVANCED PAIN MEDICINE, PSC
- Practice address
- 101 Prosperous PL
Suite 300
Lexington, KY 40509-1882 - Phone
- (859) 271-3114
- Fax
- (859) 271-0220
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Saroj B. Dubal, M.D.
- Title
- President
- Phone
- (859) 271-3114
Practitioners 5
-
David Wendell Moore, PA-C
-
Darel D Barnett, MD
-
Saroj B. Dubal, M.D.
-
Todd Owen Martin, APRN
-
Dora A Picon, MD
National Provider Directory
Locations
1401 Harrodsburg Rd
#315
Lexington, KY 40504
Phone (606) 268-1030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Pain Medicine Physician |
208VP0000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Medical Physician Assistant |
363AM0700X |
Addresses
Primary practice location
101 Prosperous PL
Suite 300
Lexington, KY 40509-1882
Mailing address
PO Box 23955
Lexington, KY 40523-3955
Phone (859) 271-3114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C15401 | Other | KY | BLUEGRASS FAMILY HEALTH |
| 1168975 | Other | KY | CHA HEALTH PIN |
| 65906067 | Medicaid | KY | |
| 050076771 | Other | KY | RAILROAD MEDICARE |
| 000000108103 | Other | KY | ANTHEM B/C & B/S PIN |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.