TRI-STATE ADVANCED PAIN MANAGEMENT PLLC
NPI 1922186378
Pain Medicine - Interventional Pain Medicine in Owensboro, KY

NPI Status: Active since November 02, 2006

Contact Information

3332 VILLA PT STE 104
OWENSBORO, KY
ZIP 42303
Phone: (270) 684-5679
Fax: (270) 684-5753

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance

About TRI-STATE ADVANCED PAIN MANAGEMENT PLLC

This page provides the complete NPI Profile along with additional information for Tri-state Advanced Pain Management Pllc, a provider established in Owensboro, Kentucky operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1922186378 assigned on November 2006. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Suk Ki Kim Md (President)

NPI
1922186378
Provider Name
TRI-STATE ADVANCED PAIN MANAGEMENT PLLC
Entity Type
Organization
Location Address
3332 VILLA PT STE 104 OWENSBORO, KY 42303
Location Phone
(270) 684-5679
Location Fax
(270) 684-5753
Mailing Address
3332 VILLA PT SUITE 104 OWENSBORO, KY 42303
Mailing Phone
(270) 684-5679
Mailing Fax
(270) 684-5753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2006
Last Update Date
04-12-2018
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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • 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
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

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

SUK KI KIM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(270) 684-5679

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
64177280MEDICAID (05)KY 
200426500AMEDICAID (05)IN 

Reviews for TRI-STATE ADVANCED PAIN MANAGEMENT PLLC

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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.
1922186378
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29422812314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 8 + 1 + 2 + 3 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1922186378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699242107PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Organization
Pain Medicine (Interventional Pain Medicine)3332 VILLA PT STE 104
OWENSBORO, KY 42303
(270) 684-5679
1487257432 CHELSEA YOUNG
Individual
Nurse Practitioner (Family)3332 VILLA PT STE 104
OWENSBORO, KY 42303
(270) 554-8373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922186378, enumerated in the NPI registry as an "organization" on November 02, 2006

The provider is located at 3332 Villa Pt Ste 104 Owensboro, Ky 42303 and the phone number is (270) 684-5679

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 02, 2006. 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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