Active NPI
Somnia Pain Management of Ky PSC
- Pain Medicine (Anesthesiology) Physician
- Lexington, KY
National Provider Identifier
1295718922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SOMNIA PAIN MANAGEMENT OF KY PSC
- Practice address
- 240 Fountain CT
Lexington, KY 40509-1888 - Phone
- (859) 278-1460
- Fax
- (859) 278-0115
- NPI assigned
- Nov 28, 2005
- 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
- Dr. Marc E. Koch, M.D.
- Title
- President & Ceo
- Phone
- (914) 637-3511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
240 Fountain CT
Lexington, KY 40509-1888
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944472 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560816000000",
"number": "1295718922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMERCE DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015214",
"telephone_number": "914-637-3510",
"fax_number": "914-819-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 FOUNTAIN CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091888",
"telephone_number": "859-278-1460",
"fax_number": "859-278-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMNIA PAIN MANAGEMENT OF KY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2019-06-18",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "914-637-3511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65944472",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.