Kentucky Spine and Pain Care

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

KENTUCKY SPINE AND PAIN CARE

Practice address

106 Fortress Properties St
Suite 2
London, KY 40741-3125

Phone

(606) 877-4560

Fax

(606) 877-4578

NPI assigned

Dec 3, 2014

Last updated

Jan 29, 2015By 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

Munawar Siddiqi, MDNPI 1689643801

Title

Owner

Phone

(606) 877-4560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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.

• Munawar Siddiqi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • London, KY
  • NPI 1689643801
  Medicare reassignment Authorized official
• Cheryl Parker, APRN

  • Family Nurse Practitioner
  • London, KY
  • NPI 1134062508
  NPD
• Rianna Marie Singleton, APRN, FNP-C

  • Family Nurse Practitioner
  • London, KY
  • NPI 1033066816
  NPD

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1881091098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FORTRESS PROPERTIES ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413125",
            "telephone_number": "606-877-4560",
            "fax_number": "606-877-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FORTRESS PROPERTIES ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413125",
            "telephone_number": "606-877-4560",
            "fax_number": "606-877-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY SPINE AND PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-877-4560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
• Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
• Kentucky Institute for Eye Health and Surgery (Ky Eye Institute)
• Kentucky Rural Health Information Technology Network Inc (Horizon Health)
• Kentucky Rural Health Information Technology Network, Inc. (Horizon Health)
• Kentuckyone Health Medical Group, Inc.
• Kirbi Alexandria Kersey, NP-C
• Alam N Khan, MD
• Arif Khan, M.D.
• Carl Kidd Jr.

• Pain Medicine (Anesthesiology) Physician in London, KY
• Providers in London, 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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.