Kentucky Pain Physicians, PSC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

KENTUCKY PAIN PHYSICIANS, PSC

Practice address

320 Morton Blvd
Hazard, KY 41701-9418

Phone

(606) 487-8383

Fax

(606) 487-8122

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Windsor, MD

Title

Owner of Tin/MD

Phone

(859) 252-6500

Specialties & licenses 3

Addresses

Other identifiers 4

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1376515528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-487-8383",
            "fax_number": "606-487-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-487-8383",
            "fax_number": "606-487-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PAIN PHYSICIANS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OF TIN/MD",
        "authorized_official_telephone_number": "859-252-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926552",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD2933",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472800",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003494",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Mountain Health Alliance, Inc.
• Kentucky Mountain Imaging LLC
• Kentucky Mountain Radiology Services PLLC
• Kentucky Pain Management Services
• Kentucky Pain Physicians
• Kentucky Primary Medical Services LLC
• Kentucky River Area Dev Dist
• Kentucky River Children'S Advocacy Center
• Kentucky River Community Care, Inc
• Kentucky River Community Care, Inc

• All providers in Hazard, KY
• Nursing Facility Supplies (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.