Organization Active NPI

Hillcrest Pain & Spine PLLC

  • Interventional Pain Medicine Physician
  • Lexington, KY
National Provider Identifier
1528554474
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
HILLCREST PAIN & SPINE PLLC
Practice address
853 Lane Allen Rd Ste 217
Lexington, KY 40504
Phone
(859) 523-5300
Fax
(859) 523-5855
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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

Authorized official

Name
Ihab Labatia, MD
Title
Owner
Phone
(813) 833-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

853 Lane Allen Rd Ste 217
Lexington, KY 40504

Mailing address

853 Lane Allen Rd
Lexington, KY 40504-3605
Phone (859) 523-5300

Other practice location 1

853 Lane Allen Rd Ste 217
Lexington, KY 40504
Phone (859) 523-5300

Other identifiers 1

IdentifierTypeStateIssuer
49262OtherKYKENTUCKY MEDICAL BOARD

National Provider Directory

National Provider Directory

Locations

1025 Majestic Dr
Unit 910329
Lexington, KY 40591

853 Lane Allen Rd
Ste 217
Lexington, KY 40504
Phone (859) 523-5300

853 Lane Allen Rd
Lexington, KY 40504
Phone (859) 523-5300

1050 Monarch St
Ste 301A
Lexington, KY 40513
Phone (859) 317-8452

307 Townepark Cir
Ste 100
Louisville, KY 40243
Phone (502) 614-6030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19010/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550966400000",
    "number": "1528554474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 LANE ALLEN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043605",
            "telephone_number": "859-523-5300",
            "fax_number": "859-523-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 LANE ALLEN RD STE 217",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-523-5300",
            "fax_number": "859-523-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 Lane Allen Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40504",
            "country_code": "US",
            "telephone_number": "859-523-5300",
            "fax_number": "859-523-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLCREST PAIN & SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2019-02-24",
        "status": "A",
        "authorized_official_last_name": "LABATIA",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-833-3270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAL BOARD",
            "identifier": "49262",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.