Organization Active NPI

Zhou Pain Management Center

  • Interventional Pain Medicine Physician
  • Louisville, KY
National Provider Identifier
1558741736
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ZHOU PAIN MANAGEMENT CENTER
Practice address
1230 S Hurstbourne Pkwy
Unit 120
Louisville, KY 40222-5757
Phone
(502) 423-3225
Fax
(502) 425-3225
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Larry Zhou, MDNPI 1467441915
Title
Owner
Phone
(502) 423-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1230 S Hurstbourne Pkwy
Unit 120
Louisville, KY 40222-5757

Mailing address

1230 S Hurstbourne Pkwy Ste 120
Louisville, KY 40222-5757
Phone (502) 425-3225

Other identifiers 2

IdentifierTypeStateIssuer
7100360490MedicaidKY
201323500AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150720002376 KY Part B Supplier - Clinic/Group Practice 0547573511 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20151014000981 IN Part B Supplier - Clinic/Group Practice 0547573511 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, IN
O20160115002242 KY DME Supplier - Physician - Anesthesiology 0547573511 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1230 S Hurstbourne Pkwy
Ste 120
Louisville, KY 40222
Phone (502) 425-3225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1558741736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225757",
            "telephone_number": "502-425-3225",
            "fax_number": "502-423-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY",
            "address_2": "UNIT 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225757",
            "telephone_number": "502-423-3225",
            "fax_number": "502-425-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHOU PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-423-3225",
        "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
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100360490",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201323500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.