Active NPI
Bill Walker Haney, MD
- Interventional Pain Medicine Physician
- Louisville, KY
National Provider Identifier
1265525653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 22787
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64227879 | Medicaid | KY |
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
| Organization | Specialty | Status | New 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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1003866146
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164400701
-
dba Elips Scripts
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1811378524
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1376520528
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
- Hands on Physical Therapy, PSC
- Hands2Hearts Academy LLC
- Jonathan William Handshoe, MD
- Lacy Samuel Handshoe, D.O.
- Sally Haner
- William H Haney, MD
- Dakota Renee Hangartner, APRN, FNP-C
- Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
- Hanger Prosthetics & Orthotics East, Inc.
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
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.