NPIMap

Organization Active NPI

Ken Homolya, MD, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Nashville, TN
National Provider Identifier
1295209534
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KEN HOMOLYA, MD, LLC
Practice address
3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520
Phone
(615) 860-3500
Fax
(615) 860-2420
NPI assigned
Jan 21, 2019
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Kenneth Michael Homolya, MDNPI 1548302789
Title
Owner
Phone
(615) 431-5484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520

Mailing address

103 Hazel Path Ste 7
Hendersonville, TN 37075-3893
Phone (615) 824-4244

National Provider Directory

National Provider Directory

Locations

1400 Hatcher Ln
Ste A
Columbia, TN 38401
Phone (931) 388-1808

118 Highway 70 E
#106
Dickson, TN 37055
Phone (615) 446-4999

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

275 Eureka St
#A
Savannah, TN 38372
Phone (731) 925-7246

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1295209534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAZEL PATH STE 7",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753893",
            "telephone_number": "615-824-4244",
            "fax_number": "615-447-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 590",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072520",
            "telephone_number": "615-860-3500",
            "fax_number": "615-860-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN HOMOLYA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "HOMOLYA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-431-5484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.