Central Kentucky Pain Professionals, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CENTRAL KENTUCKY PAIN PROFESSIONALS, PLLC

Practice address

2628 Wilhite CT
Ste 101
Lexington, KY 40503-3327

Phone

(859) 276-0100

Fax

(859) 277-1115

NPI assigned

Jun 11, 2006

Last updated

Aug 22, 2020By 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

Harold H. Rutledge, MD

Title

Owner/Physician

Phone

(859) 276-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kimberly S Humphries, PA-C

  • Physician Assistant
  • Lexington, KY
  • NPI 1679626840
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750323366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 WILHITE CT",
            "address_2": "STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033327",
            "telephone_number": "859-276-0100",
            "fax_number": "859-277-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 WILHITE CT",
            "address_2": "STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033327",
            "telephone_number": "859-276-0100",
            "fax_number": "859-277-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY PAIN PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "859-276-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940827",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Kentucky Gastroenterology
• Central Kentucky High Risk Obstetrics, PLLC
• Central Kentucky Medical Group PSC
• Central Kentucky Mobility
• Central Kentucky Pain Management, PLLC
• Central Kentucky Radiology PLLC
• Central Kentucky Sedation PLLC
• Central Kentucky Surgery, PSC
• Central Kentucky Wellness Center, LLC
• Central Ky Home Care LLC

• Pain Medicine (Anesthesiology) Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pain Medicine (Anesthesiology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.