ELITE PAIN AND SPINE
NPI 1295377497
Physical Medicine & Rehabilitation - Pain Medicine in Paducah, KY
NPI Status: Active since October 09, 2019
Contact Information
4645 VILLAGE SQUARE DR STE C
PADUCAH, KY
ZIP 42001
Phone: (270) 228-0118
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 18D2189554
- CLIA Cert. Type: Accreditation
- CLIA Exp. Date: 01-15-2026
About ELITE PAIN AND SPINE
Elite Pain And Spine is a provider established in Paducah, Kentucky operating as a Physical Medicine & Rehabilitation with a focus in pain medicine . The healthcare provider is registered in the NPI registry with number 1295377497 assigned on October 2019. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Elite Pain And Spine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Elite Pain And Spine. The authorized official of this NPI record is John T Ruxer Do (President)
- NPI
- 1295377497
- Provider Legal Name
- SOUTHERN PAIN AND REHABILITATION INC
- Other Organization Name
- ELITE PAIN AND SPINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001
- Location Phone
- (270) 228-0118
- Mailing Address
- 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001
- Mailing Phone
- (270) 228-0118
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2019
- Last Update Date
- 05-24-2021
- Code Navigator
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Buckeye Health Plan
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
Ambetter from Home State Health
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
Ambetter from MHS
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
Ambetter of Illinois
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Central Silver - HMO
- Central Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
Ambetter of Tennessee
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2189554
- Facility Type
- Physician Office
- Certificate Effective Date
- January 16, 2024
- Certificate Expiration Date
- January 15, 2026
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Elite Pain And Spine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ELITE PAIN AND SPINE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 3 | 7 | 7 | 4 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 6 | 7 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 6 + 7 + 1 + 4 + 4 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1295377497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205078987 | DR. JOHN THOMAS RUXER DO Individual | Pain Medicine (Pain Medicine) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
| 1629342308 | LEON FRANK KEHRER II APRN Individual | Nurse Practitioner (Family) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
| 1841643202 | DUSTIN THOMPSON APRN Individual | Nurse Practitioner (Gerontology) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
| 1922529080 | BRADLEY SHANE TAYLOR MSN, APRN, FNP-C Individual | Nurse Practitioner (Family) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
| 1811429756 | STUART THOMAS COWLEY Individual | Pain Medicine (Pain Medicine) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
| 1215608096 | ELITE ANESTHESIA LLC Organization | Anesthesiology | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 276-6502 |
| 1316191646 | MR. JAMES D DURBIN CRNA Individual | Nurse Anesthetist, Certified Registered | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 276-6502 |
| 1467178418 | MR. ROBERT CONE APRN Individual | Nurse Practitioner (Family) | 4645 VILLAGE SQUARE DR STE C PADUCAH, KY 42001 (270) 228-0118 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295377497, enumerated in the NPI registry as an "organization" on October 09, 2019
The provider is located at 4645 Village Square Dr Ste C Paducah, Ky 42001 and the phone number is (270) 228-0118
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D2189554 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 09, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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