East Louisville Interventional Pain Specialists PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07694 Issued in KY

Legal business name

EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS PLLC

Practice address

4205 Springhurst Blvd Ste 101
Louisville, KY 40241-6159

Phone

(502) 290-7246

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Gary Green

Title

Manager

Phone

(502) 939-6085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elips Scripts Doing business as

Practitioners 1

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

• Bill Walker Haney, MD

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1265525653
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1811378524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WILDWOOD TRL",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318232",
            "telephone_number": "502-939-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SPRINGHURST BLVD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416159",
            "telephone_number": "502-290-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LOUISVILLE INTERVENTIONAL PAIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-939-6085"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elips Scripts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East End Surgical Assistants, PLC
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• East Louisville Dermatology, PSC
• East Louisville Inpatient Medicine, PLLC
• East Louisville Interventional Pain Specialists, PLLC
• East Louisville Neurology, PSC
• East Louisville Oral Surgery and Dental Implants PLC
• East Louisville Oral Surgery and Dental Implants PLC
• East Louisville Pathologists PSC

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.