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Contact Information

ADVANCED PAIN MEDICINE, PSC
101 PROSPEROUS PL
SUITE 300
LEXINGTON, KY40509-1882
 Phone: 859-271-3114
 Fax: 859-271-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Medical

363AM0700X 97 Physician Assistant
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN MEDICINE, PSC

NPI # 1245238492
LBN Legal business name ADVANCED PAIN MEDICINE, PSC
Authorized official SAROJ DUBAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2005
Last updated 10/02/2014 - About 12 years ago
Identifiers
KY Medicaid 65906067
KY Other 000000108103 ANTHEM B/C & B/S PIN
KY Other C15401 BLUEGRASS FAMILY HEALTH
KY Other 1168975 CHA HEALTH PIN
KY Other 050076771 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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