Kentucky Pain Management PSC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

34304 Issued in KY

Legal business name

KENTUCKY PAIN MANAGEMENT PSC

Practice address

1939 Goldsmith LN Ste 117
Louisville, KY 40218-3176

Phone

(502) 447-2222

Fax

(502) 448-2215

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By 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

Dr. Robert W Byrd, M.D.

Title

Owner

Phone

(502) 447-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1902342751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 117",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183176",
            "telephone_number": "502-447-2222",
            "fax_number": "502-448-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 117",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183176",
            "telephone_number": "502-447-2222",
            "fax_number": "502-448-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PAIN MANAGEMENT PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-447-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": "34304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthopedic Rehab Team
• Kentucky Orthopedic Specialists PLLC
• Kentucky Orthotic Providers, LLC
• Kentucky Pain & Rehab LLC
• Kentucky Pain Associates, PLLC
• Kentucky Pediatric Ophthalmology and Strabismus, PLLC
• Kentucky Podiatry PLLC
• Kentucky Psychiatric and Mental Health Serivces, PLLC
• Kentucky Psychiatric Care, PLLC
• Kentucky Recovery Limited Liability Company (Kentucky Recovery)

• Pain Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.