Tri-state Pain Management Service Inc, NPI 1457621898
Interventional Pain Medicine Physician in Florence, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1457621898
NPI Entity Type Organization
Provider Name Tri-state Pain Management Service Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4900 Houston Rd, Florence, KY, US
Provider Mailing Address # L-6067, Cincinnati, OH, US, 452700001
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Sairam L Atluri
Official Position PRESIDENT OWNER
Phone 859-341-7246

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

208VP0014X

Taxonomy Name Interventional Pain Medicine Physician
Classification

Pain Medicine

Group

Allopathic & Osteopathic Physicians

Description Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Business Address

Tri-state Pain Management Service Inc
4900 Houston Rd

Florence, KY, US

Phone: 859-341-7246
Fax: 859-341-7867

Mailing Address

Tri-state Pain Management Service Inc
# L-6067
Cincinnati, OH, US
ZIP 452700001
Phone: 859-341-7246
Fax: 859-341-7867

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363L00000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
65944233 KY MEDICAID 05
2044773 OH MEDICAID 05
000000388145 ANTHEM 01
28494199500 BUREAU OF WORKERS COMP 01
5124498 CIGNA 01
728014 BUCKEYE 01
200377720 IN MEDICAID 05
284941995 HEALTHNET 01

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Organization

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Organization

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PA-C Brittney R. Judhan

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MD Brett E Jarrell

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1730622317

APRN Danny Brent Newsome

Individual

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911 Bypass Rd Bldg A

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1093744807

DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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