Pain Care of Western Kentucky, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN CARE OF WESTERN KENTUCKY, PLLC

Practice address

2404 New Holt Rd
Paducah, KY 42001-7455

Phone

(618) 993-5859

Fax

(618) 997-1588

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Paul Brian Juergens, M.D.

Title

Physician

Phone

(618) 993-5859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracie L. Bullock, A.P.R.N.

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1891878641
  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1679880686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-5859",
            "fax_number": "618-997-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "618-993-5859",
            "fax_number": "618-997-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE OF WESTERN KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "JUERGENS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-993-5859",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paducah Recovery LLC
• Paducah Surgical Associates, PLLC
• Paducah Vascular Institute PLLC
• Paducah Wome'S Clinic
• Paducah Women'S Clinic PSC
• Pain Management Centers of America, PSC
• Jessica J. Paine, R.D.L.D.
• Allyson Pair
• Robin Palmer
• Pamela J Chesser

• 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 Mar 9, 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.