NPIMap

Organization Active NPI

Ace Clinique of Medicine

  • Pain Medicine Physician
  • Hazard, KY
National Provider Identifier
1306862057
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
28914 Issued in KY
Legal business name
ACE CLINIQUE OF MEDICINE
Practice address
181 Roy Campbell Dr
Hazard, KY 41701-0000
Phone
(606) 439-6503
NPI assigned
Jul 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Larry W. Patrick
Title
Office Manager
Phone
(606) 439-6503

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28914 KY
Pain Medicine Physician 208VP0000X 28914 KY Primary

Addresses

Primary practice location

181 Roy Campbell Dr
Hazard, KY 41701-0000

Mailing address

PO Box 2008
Hazard, KY 41701-2008
Phone (606) 439-6503

National Provider Directory

National Provider Directory
Tax ID family
Ace Clinique of Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306862057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2008",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012008",
            "telephone_number": "606-439-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417010000",
            "telephone_number": "606-439-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE CLINIQUE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-439-6503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28914",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": "28914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.