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NPI Code Detail

MEDICARE: RESTORATIVE PAIN INSTITUTE

MEDICARE: RESTORATIVE PAIN INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician
2332B00000XDurable Medical Equipment & Medical Supplies
3363LF0000XFamily Nurse Practitioner
4208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1871275792
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATIVE PAIN INSTITUTE
Provider Business Mailing Address
First Line : 4201 SPRINGHURST BLVD STE 102
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-6156
Country : US
Telephone Number : 502-515-4902
Fax Number :
Provider Business Practice Location Address
First Line : 4201 SPRINGHURST BLVD STE 102
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-6156
Country : US
Telephone Number : 502-515-6090
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIMOTHY BEACHAM
Credential : MD
Telephone Number : 502-515-4903
Provider Enumeration Date : 08/01/2023
Last Update Date : 07/28/2025

Similar Medicare Providers

1922134311 — DR. SARAH DENTINGER MERRICK M.D.
Practice Location Address:
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY
40241-6156
Practice Phone: 502-930-6880
Practice Fax:
1821562646 — EMILY ROSE PIERCE MSN, APRN, FNP-C
Practice Location Address:
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY
40241-6156
Practice Phone: 502-515-6090
Practice Fax: 502-883-0016
1376528216 — JENNIFER WALTERS PA-C
Practice Location Address:
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY
40241-6156
Practice Phone: 25-156-0905
Practice Fax: 502-883-0016
1669670360 — TIMOTHY BEACHAM MD
Practice Location Address:
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY
40241-6156
Practice Phone: 502-352-2530
Practice Fax:
1982175329 — ANNE NOELLE POWELL
Practice Location Address:
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY
40241-6156
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Practice Fax:
1184291650 — PT PROS, INC.
Practice Location Address:
4201 SPRINGHURST BLVD STE 101
LOUISVILLE, KY
40241-6156
Practice Phone: 502-805-7092
Practice Fax: 502-805-6972

Directions to “RESTORATIVE PAIN INSTITUTE ” Practice Location

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