Individual provider Active NPI

Bill Walker Haney, MD

  • Interventional Pain Medicine Physician
  • Louisville, KY
National Provider Identifier
1265525653
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
22787 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone
(502) 708-9880
Fax
(502) 708-6911
NPI assigned
Sep 30, 2006
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 01071971A IN
Interventional Pain Medicine Physician 208VP0014X 22787 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341

Mailing address

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone (812) 477-7246

Other practice location 1

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone (812) 477-7246

Other identifiers 1

IdentifierTypeStateIssuer
64227879MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Kentucky, PLLC Past Accepting new patients
Anesthesiology Associates PSC Past Accepting new patients
Norton Anesthesia Services Past Accepting new patients
East Louisville Interventional Pain Specialists PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1265525653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053341",
            "telephone_number": "502-708-9880",
            "fax_number": "502-708-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Professional Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477148018",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "BILL",
        "middle_name": "WALKER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01071971A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "22787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64227879",
            "state": "KY"
        }
    ],
    "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 Dec 18, 2019; 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.