Provider Demographics
NPI:1912055526
Name:PAIN AND HEALTH MANAGEMENT
Entity type:Organization
Organization Name:PAIN AND HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:LYND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-451-9500
Mailing Address - Street 1:350 HOSPITAL WAY
Mailing Address - Street 2:SUITE 444, MEDICAL ARTS BUILDING
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2872
Mailing Address - Country:US
Mailing Address - Phone:606-451-9500
Mailing Address - Fax:606-451-9501
Practice Address - Street 1:350 HOSPITAL WAY
Practice Address - Street 2:SUITE 444, MEDICAL ARTS BUILDING
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2872
Practice Address - Country:US
Practice Address - Phone:606-451-9500
Practice Address - Fax:606-451-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY336352081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64023070Medicaid
KY1854401Medicare ID - Type Unspecified
KY64023070Medicaid