PAIN MANAGEMENT CONSULTANTS, LLC
NPI 1780745596
Pain Medicine - Interventional Pain Medicine in Louisville, KY

NPI Status: Active since December 13, 2006

Contact Information

1169 EASTERN PKWY
SUITE 2211
LOUISVILLE, KY
ZIP 40217
Phone: (502) 635-2775
Fax: (502) 371-0475

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 18D1047482
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-05-2027

About PAIN MANAGEMENT CONSULTANTS, LLC

This page provides the complete NPI Profile along with additional information for Pain Management Consultants, Llc, a provider established in Louisville, Kentucky operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1780745596 assigned on December 2006. The practitioner's primary taxonomy code is 208VP0014X with license number 22581 (KY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kathy Wolfson (Office Manager)

NPI
1780745596
Provider Name
PAIN MANAGEMENT CONSULTANTS, LLC
Entity Type
Organization
Location Address
1169 EASTERN PKWY SUITE 2211 LOUISVILLE, KY 40217
Location Phone
(502) 635-2775
Location Fax
(502) 371-0475
Mailing Address
1169 EASTERN PKWY SUITE 2211 LOUISVILLE, KY 40217
Mailing Phone
(502) 635-2775
Mailing Fax
(502) 371-0475
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2006
Last Update Date
02-27-2024
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
22581
License State
KY
Taxonomy 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.

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)
1261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY WOLFSON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(502) 635-2775

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65903056MEDICAID (05)KY 
64225816MEDICAID (05)KY 
78903192MEDICAID (05)KY 
7100130090MEDICAID (05)KY 
DA3323OTHER (01)KYMEDICARE RR

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
18D1047482
Facility Type
Other
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
JEFFERY BERG, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Management Consultants, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780745596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 4 + 4 + 1 + 0 + 5 + 1 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1780745596.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
1169 EASTERN PKWY, SUITE 1152 MEDICAL ARTS BUILDING
LOUISVILLE, KY 40217
Internal Medicine (Gastroenterology)
1169 EASTERN PKWY, G58
LOUISVILLE, KY 40217
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 1155
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, MEDICAL ARTS BUILDING SUITE 1147
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 1147
LOUISVILLE, KY 40217
Social Worker (Clinical)
1169 EASTERN PKWY, SUITE 1147, MEDICAL ARTS BLDG.
LOUISVILLE, KY 40217
Specialist
1169 EASTERN PKWY, SUITE 1226
LOUISVILLE, KY 40217
Internal Medicine
1169 EASTERN PKWY, STE 1234
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 3357
LOUISVILLE, KY 40217
Psychologist (Clinical Child & Adolescent)
1169 EASTERN PKWY, STE 431
LOUISVILLE, KY 40217
Family Medicine
1169 EASTERN PKWY, 1111
LOUISVILLE, KY 40217
Dentist (General Practice)
1169 EASTERN PKWY, SUITE #2353
LOUISVILLE, KY 40217
Dentist (General Practice)
1169 EASTERN PKWY, SUITE 423
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 1165
LOUISVILLE, KY 40217
Psychologist
1169 EASTERN PKWY, MEDICAL ARTS BLDG SUITE 1147
LOUISVILLE, KY 40217
Internal Medicine (Rheumatology)
1169 EASTERN PKWY, SUITE 3451
LOUISVILLE, KY 40217
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 3450
LOUISVILLE, KY 40217
Specialist
1169 EASTERN PKWY, SUITE 3337
LOUISVILLE, KY 40217
Psychologist
1169 EASTERN PKWY, 1159 MEDICAL ARTS BUILDING
LOUISVILLE, KY 40217
Early Intervention Provider Agency
1169 EASTERN PKWY, SUITE 2252
LOUISVILLE, KY 40217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780745596, enumerated as an "organization" on December 13, 2006.

The provider is located at 1169 EASTERN PKWY SUITE 2211 LOUISVILLE, KY 40217 and the phone number is (502) 635-2775.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.