Pain Management Kentucky PSC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MANAGEMENT KENTUCKY PSC

Practice address

4402 Churchman Ave
Suite 409
Louisville, KY 40215-1190

Phone

(502) 366-7318

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kunnathu P. Geevarghese, M.D

Title

M.D.

Phone

(502) 366-7317

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1336230820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "SUITE 409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-366-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "SUITE 409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-366-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GEEVARGHESE",
        "authorized_official_first_name": "KUNNATHU",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "502-366-7317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933921",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain and Wellness Institute of Kentucky LLC
• Pain Care Surgery of Louisville, LLC
• Pain Control Network, PSC
• Pain Management Centers of America, PSC
• Pain Management Consultants, LLC
• Pain Management Technologies Inc
• Pain Relief Centers
• Victoria Pajel, MD
• Pakmed LLC
• Luke August Pakosta, DC

• Pain Medicine (Anesthesiology) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pain Medicine (Anesthesiology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.