Ricky Stanley Collis in Louisville - Pain Medicine
Ricky Stanley Collis - NPI 1144231291
Ricky Stanley Collis is a Pain Medicine in Louisville, Kentucky. Ricky Stanley Collis practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Ricky Stanley Collis is 1144231291. The last update date is 2008-07-10.
Ricky Stanley Collis's current location address is 315 E Broadway, Louisville, Kentucky. You can contact this provider via phone number 5025894765 and fax number 5025894799. The mailing address for Ricky Stanley Collis is 315 E Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Stanley Collis |
|---|---|
| Address | 315 E Broadway, Louisville, Kentucky |
| Phone Number | 5025894765 |
| Fax Number | 5025894799 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144231291 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 315 E Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402023700 |
| Phone Number | 5025894765 |
| Fax Number | 5025894799 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | 29814 |
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Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5382490 | AETNA | ||
| 43722 | ANTHEM | ||
| 200137520A | IN | -- | |
| 64298144 | KY | -- | |
| 1058769 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ricky Stanley Collis by the Centers for Medicare & Medicaid Services?
The Ricky Stanley Collis has been issued the NPI (National Provider Identifier) 1144231291, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ricky Stanley Collis is located?
The Ricky Stanley Collis is situated at the following address: 315 E Broadway, Louisville, KY, 402023700.
What is the Ricky Stanley Collis's specialty and taxonomy code?
The Ricky Stanley Collis's specialty is Pain Medicine, and the corresponding taxonomy code is 208Vp0000X.
On what date did the Ricky Stanley Collis receive its 1144231291 assignment from the Centers for Medicare & Medicaid Services?
The Ricky Stanley Collis was assigned its 1144231291 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the details pertaining to Ricky Stanley Collis last refreshed?
The information related to the Ricky Stanley Collis, including its address, specialty, and other relevant details, was last updated on 2008-07-10.