Bluegrass Pain Consultants PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BLUEGRASS PAIN CONSULTANTS PLLC

Practice address

10241 Champion Farms Dr
Louisville, KY 40241-6150

Phone

(502) 423-1021

Fax

(502) 423-1416

NPI assigned

Apr 9, 2008

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher L. NelsonNPI 1386639474

Title

Owner

Phone

(502) 423-1021

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Pain Management Group PLLC Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Lee Nelson, M.D.

  • Interventional Pain Medicine Physician
  • Miramar Beach, FL
  • NPI 1386639474
  Authorized official Same address or phone
• Aaron Compton, M.D.

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1609918879
  NPD (past)
• Christina Marie Rollins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1700956109

  Adult Health

  NPD (past)
• Deborah Smith, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1326367533
  NPD (past)
• Stephen Kyle Young, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
  • NPI 1679615686
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1730352972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 CHAMPION FARMS DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416129",
            "telephone_number": "502-423-1021",
            "fax_number": "502-423-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 CHAMPION FARMS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416150",
            "telephone_number": "502-423-1021",
            "fax_number": "502-423-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PAIN CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-423-1021"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100038680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100034210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Group PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Bluegrass Pain Consultants PLLC
• Bluegrass Peer Supports
• Bluegrass Podiatric Management LLC
• Bluegrass Regional Cancer Center LLP (Louisville Radiation Oncology Center)
• Bluegrass Rehab and Mobility
• Bluegrass Rural Health PLLC

• Interventional Pain Medicine Physician in Louisville, KY
• Providers in Louisville, 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 Jun 19, 2012; 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.