Tender Pain Care Clinic, PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32485 Issued in KY

Legal business name

TENDER PAIN CARE CLINIC, PSC

Practice address

801 Barret Ave
Suite 104
Louisville, KY 40204-1747

Phone

(502) 589-9310

Fax

(502) 583-5560

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mazen Khayat, M.D.

Title

President

Phone

(502) 589-9310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1639248578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041747",
            "telephone_number": "502-228-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "SUITE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041747",
            "telephone_number": "502-589-9310",
            "fax_number": "502-583-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER PAIN CARE CLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KHAYAT",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-589-9310",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple Triage PLLC
• Ten Broeck Dupont Inc
• Jackie Tencza
• Tender Love & Care Nursing Services
• Tender Love & Care Nursing Services LLC
• Jun Teng
• Lawrence Tenkman, MD
• Paul Albert Tennant, M.D.
• Alicia Maria Tenrrero-Villalon, DMD
• Alyssa Nicole Teper, OTR/L

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.