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PAIN MANAGEMENT CENTER OF PADUCAH
NPI 1518016823
Pain Medicine - Interventional Pain Medicine in Paducah, KY

Active since January 09, 2007CLIA Certified · 2 labs
2831 LONE OAK RD, PADUCAH, KY 42003(270) 554-8373(270) 554-8987 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pain Management Center Of Paducah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN MANAGEMENT CENTER OF PADUCAH (NPI 1518016823) is a healthcare organization registered as an interventional pain medicine in Paducah, Kentucky and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Laxmaiah Manchikanti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518016823
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePMCP, PSC
Location Address2831 LONE OAK RDPaducah, KY 42003-8041
Mailing Address2831 Lone Oak RdPaducah, KY 42003-8041 · (270) 554-8373 · Fax (270) 554-8987
Phone(270) 554-8373
Fax(270) 554-8987
Organization SubpartNo
Authorized OfficialLaxmaiah ManchikantiCeo · (270) 554-8373
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 5, 2011
✔ NPI 1518016823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2831 LONE OAK RD, Paducah, KY 42003
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Other Names 1

Doing Business AsPain Management Center Of Paducah

Other Identifiers 6

Medicaid=========001IL
Medicare PIN451520IL
Medicare ID-Type Unspecified4044KY · Ky Medicare
Medicare PINDE2530IL
Medicaid6592880600KY
Medicare PINCG4034KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0893261

Pain Management Centers Of America · Paducah, KY
Active · expires Oct 18, 2026
CLIA Number18D0893261
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorDr. Laxmaiah Manchikanti
Laboratory Phone(502) 554-8373
Laboratory LocationPain Management Centers Of America2831 Lone Oak Road, Paducah, KY 42003
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D2124835

Pain Management Centers Of America · Paducah, KY
Active · expires Jun 20, 2027
CLIA Number18D2124835
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorDr. Meredith Gamblin
Laboratory Phone(270) 554-8373
Laboratory LocationPain Management Centers Of America67 Lakeview Dr, Paducah, KY 42001
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOGESH B MALLA M.D.
Pain Medicine (Interventional Pain Medicine)
2831 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 554-8373
AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2831 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 554-8373
PADUCAH PHYSICAL THERAPY AND PSCHOLOGY CENTER, PSC
Psychologist
2831 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 554-8373
LAXMAIAH MANCHIKANTI M.D.
Pain Medicine (Interventional Pain Medicine)
2831 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 554-8373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pmcp, Psc's NPI number?

The NPI number for Pmcp, Psc is 1518016823. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is doing business as Pain Management Center Of Paducah.

Where is Pmcp, Psc located?

Pmcp, Psc is located at 2831 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 554-8373.

What is Pmcp, Psc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Pmcp, Psc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pmcp, Psc was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.