{"npi":"1780745596","type":"NPI-2","status":"active","name":{"display":"Pain Management Consultants, LLC","other":[],"organization_name":"PAIN MANAGEMENT CONSULTANTS, LLC","authorised_official":"Kathy Wolfson"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"261QP3300X","description":"Pain Clinic/Center","primary":false,"state":null,"license":null},{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":"KY","license":"22581"}]},"addresses":[{"purpose":"LOCATION","street_1":"1169 EASTERN PKWY","city":"LOUISVILLE","state":"KY","postal_code":"402171417","country_code":"US","street_2":"SUITE 2211","phone":"5026352775","fax":"5023710475"},{"purpose":"MAILING","street_1":"1169 EASTERN PKWY","city":"LOUISVILLE","state":"KY","postal_code":"402171417","country_code":"US","street_2":"SUITE 2211","phone":"5026352775","fax":"5023710475"}],"license":{"state":"KY","number":"22581"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"65903056","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"64225816","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"78903192","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100130090","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"DA3323","state":"KY","issuer":"MEDICARE RR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050201000324","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"7416908009"}]},"enumeration_date":"2006-12-13","last_updated":"2024-02-27","_meta":{"source":"NPPES","snapshot_date":"2024-02-27","doc_url":"https://findmynpi.com/api"}}