Advanced Spine & Pain Management Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ADVANCED SPINE & PAIN MANAGEMENT INC

Practice address

320 Thomas Moore Pkwy
Suite 202
Crestview Hills, KY 41017-3410

Phone

(859) 426-7246

Fax

(513) 624-6900

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mukarram A. Khan, DO

Title

DO/Owner

Phone

(859) 426-7246

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1376965376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 THOMAS MOORE PKWY",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173410",
            "telephone_number": "859-426-7246",
            "fax_number": "513-624-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 THOMAS MOORE PKWY",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173410",
            "telephone_number": "859-426-7246",
            "fax_number": "513-624-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE & PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUKARRAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "859-426-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.