| Interventional Pain Specialists Of Bowling Green Plc | |
|
165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940 | |
| (270) 393-1912 | |
| (270) 393-1913 |
| Full Name | Interventional Pain Specialists Of Bowling Green Plc |
|---|---|
| Speciality | Anesthesiology |
| Location | 165 Natchez Trace Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Robert Keith Norman (OWNER/PRESIDENT) |
| Authorized Official Contact | 2703931912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Pain Specialists Of Bowling Green Plc 165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940 Ph: (270) 393-1912 | Interventional Pain Specialists Of Bowling Green Plc 165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940 Ph: (270) 393-1912 |
| NPI Number | 1033356274 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 07/21/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 6608931035 |
|---|---|
| Medicare Enrollment ID | O20090218000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033356274 | NPI | - | NPPES |
| 7100097740 | Medicaid | KY | |
| 7100063360 | Medicaid | KY | |
| 7100062970 | Other | KY | CRNA GROUP MCD NUMBER |
| 7100152630 | Medicaid | KY |
| Provider Name | Eduardo G De Los Reyes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972599660 PECOS PAC ID: 7517956048 Enrollment ID: I20050909000601 |
| Provider Name | Rodney Ross Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326033705 PECOS PAC ID: 4880617372 Enrollment ID: I20080118000454 |
| Provider Name | Betty J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831354497 PECOS PAC ID: 9931262557 Enrollment ID: I20090108000242 |
| Provider Name | Adam K Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194028670 PECOS PAC ID: 4385825751 Enrollment ID: I20110218000548 |
| Provider Name | Jessica M Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477854115 PECOS PAC ID: 1759562788 Enrollment ID: I20110224000375 |
| Provider Name | Daniel S Reynolds |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528100625 PECOS PAC ID: 3971773185 Enrollment ID: I20110825000712 |
| Provider Name | Jennifer R Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275812133 PECOS PAC ID: 1759551666 Enrollment ID: I20110901000648 |
| Provider Name | Megan S Estes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063798924 PECOS PAC ID: 1355500877 Enrollment ID: I20120301000850 |
| Provider Name | Christian A Unick |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619162104 PECOS PAC ID: 5890959316 Enrollment ID: I20120706000258 |
| Provider Name | Jacqueline K Pardue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588943849 PECOS PAC ID: 5193976967 Enrollment ID: I20121105000382 |
| Provider Name | Paula M Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013251370 PECOS PAC ID: 9537312764 Enrollment ID: I20130119000012 |
| Provider Name | Eric T Vessels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033351820 PECOS PAC ID: 3678714425 Enrollment ID: I20130722000128 |
| Provider Name | Daniel L. Etheridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043649809 PECOS PAC ID: 5294964532 Enrollment ID: I20140206001291 |
| Provider Name | Angela L Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316360159 PECOS PAC ID: 2567693468 Enrollment ID: I20140318000564 |
| Provider Name | Amy Lynne Labron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335811 PECOS PAC ID: 1153552393 Enrollment ID: I20140428000996 |
| Provider Name | Rita K Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764928 PECOS PAC ID: 9436370673 Enrollment ID: I20141031001259 |
| Provider Name | Megan L. Kepley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407253081 PECOS PAC ID: 3870817174 Enrollment ID: I20150114002262 |
| Provider Name | Andrea M Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104177005 PECOS PAC ID: 8820312911 Enrollment ID: I20150120002002 |
| Provider Name | Torie Autumn Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482409 PECOS PAC ID: 7416271465 Enrollment ID: I20150121001994 |
| Provider Name | Emily Renee Langlois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922496090 PECOS PAC ID: 2961721394 Enrollment ID: I20150506000249 |
| Provider Name | Brittany A Sowders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595947 PECOS PAC ID: 1951604933 Enrollment ID: I20160126000523 |
| Provider Name | Allison L Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056220 PECOS PAC ID: 4981907813 Enrollment ID: I20160126002190 |
| Provider Name | Joan Haley Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346793528 PECOS PAC ID: 8628358033 Enrollment ID: I20161130002178 |
| Provider Name | John A Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770826299 PECOS PAC ID: 2769624253 Enrollment ID: I20180604002673 |
| Provider Name | Joel Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619554128 PECOS PAC ID: 6305241159 Enrollment ID: I20210817004109 |
Healing Path Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 741 William Simmons Rd, Bowling Green, KY 42101 Phone: 270-202-1096 | |
The Luna Therapy & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Scottsville Rd Ste 22, Bowling Green, KY 42104 Phone: 270-864-6872 | |
Restoration Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Casey Coursey Lcsw Emdr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E 10th Ave # 2c, Bowling Green, KY 42101 Phone: 364-203-8188 Fax: 949-437-3743 | |
More To Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Pascoe Blvd, Suite 103h, Bowling Green, KY 42104 Phone: 270-791-5933 Fax: 270-721-0988 | |
Nurtured Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Stoney Ct, Bowling Green, KY 42101 Phone: 270-200-0822 |