PMCP, PSC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PMCP, PSC

Doing business as

Pain Management Center of Paducah

Practice address

2831 Lone Oak Rd
Paducah, KY 42003-8041

Phone

(270) 554-8373

Fax

(270) 554-8987

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laxmaiah Manchikanti, M.D.

Title

Ceo

Phone

(270) 554-8373

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PAIN MANAGEMENT CENTER OF PADUCAH Doing business as

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1518016823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMCP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MANCHIKANTI",
        "authorized_official_first_name": "LAXMAIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-554-8373",
        "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": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6592880600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN MANAGEMENT CENTER OF PADUCAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Elaine Pingleton, D.O.
• Hadley Pinner
• Gina Piscatelle, APRN
• Wiliam J Pitman, MD
• Joseph Matt Pittard, M.D.
• PNR Inc
• Allan Wade Poat, D.M.D.
• Reagan Poe, PA
• Jennifer Sue Polivick, PT
• D'Arcy Belt Ponce, MS, CCC-SLP

• Interventional Pain Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Interventional Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.