Provider Demographics
NPI:1053915959
Name:ATLAS PAIN AND SPINE PLLC
Entity type:Organization
Organization Name:ATLAS PAIN AND SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEALTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:606-280-7875
Mailing Address - Street 1:1498 W CUMBERLAND GAP PKWY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-5902
Mailing Address - Country:US
Mailing Address - Phone:859-544-1068
Mailing Address - Fax:859-269-4120
Practice Address - Street 1:1018 IVAL JAMES BLVD STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8281
Practice Address - Country:US
Practice Address - Phone:859-625-3252
Practice Address - Fax:888-876-6088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty