Organization Active NPI

Ken Homolya MD LLC

Doing business as Integrity Pain Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Hermitage, TN
National Provider Identifier
1447769641
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KEN HOMOLYA MD LLC
Doing business as
Integrity Pain Consultants
Practice address
5114 Old Hickory Blvd Ste 201
Hermitage, TN 37076-2590
Phone
(615) 850-6960
Fax
(615) 777-3393
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Kenneth M Homolya, MD
Title
Owner
Phone
(615) 431-5484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5114 Old Hickory Blvd Ste 201
Hermitage, TN 37076-2590

Mailing address

103 Hazel Path Ste 7
Hendersonville, TN 37075-3893
Phone (615) 431-5484

Other names 1

  • Integrity Pain Consultants Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2133676Ken Homolya MD5114 Old Hickory Blvd Ste 201, Hermitage, TN 37076Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1447769641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAZEL PATH STE 7",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753893",
            "telephone_number": "615-431-5484",
            "fax_number": "615-447-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 OLD HICKORY BLVD STE 201",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762590",
            "telephone_number": "615-850-6960",
            "fax_number": "615-777-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN HOMOLYA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "HOMOLYA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-431-5484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.