Organization Active NPI

Kentucky Pain Physicians, PSC

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
National Provider Identifier
1962475301
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KENTUCKY PAIN PHYSICIANS, PSC
Practice address
7160 North Mayo Trail
Pikeville, KY 41501-0000
Phone
(606) 478-9928
Fax
(606) 478-7001
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Robert E Windsor, MD
Title
Owner of Tin/MD
Phone
(859) 252-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7160 North Mayo Trail
Pikeville, KY 41501-0000

Mailing address

7160 North Mayo Trail
Pikeville, KY 41501-0000
Phone (606) 478-9928

Other identifiers 4

IdentifierTypeStateIssuer
2472800MedicaidOH
3810003494MedicaidWV
CD2933OtherKYRR MEDICARE
65926552MedicaidKY

National Provider Directory

National Provider Directory

Locations

123 Corporate Dr
Ste 102
Hazard, KY 41701
Phone (606) 487-8383

1713 Nicholasville Rd
#102
Lexington, KY 40503
Phone (606) 874-0032

209 N Mayo Trl
#A
Paintsville, KY 41240
Phone (606) 789-9272

685 N Mayo Trl
#1
Pikeville, KY 41501
Phone (606) 437-9928

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1962475301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 NORTH MAYO TRAIL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415010000",
            "telephone_number": "606-478-9928",
            "fax_number": "606-478-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 NORTH MAYO TRAIL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415010000",
            "telephone_number": "606-478-9928",
            "fax_number": "606-478-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PAIN PHYSICIANS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OF TIN/MD",
        "authorized_official_telephone_number": "859-252-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472800",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003494",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD2933",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926552",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.