COMMONWEALTH PAIN ASSOCIATES, PLLC (NPI# 1306280177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306280177 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PAIN ASSOCIATES, PLLC |
| Other Organization Name | COMMONWEALTH PAIN AND SPINE |
| Practice Address |
120 Executive Park Louisville KY 40207 |
| Mailing Address |
120 Executive Park Louisville KY 40207-4201 |
| Practice Telephone | 5028557200 |
| Practice Fax Number | 5028557201 |
| Mailing Telephone | 5029070356 |
| Mailing Fax Number | 5029199780 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | DR. JASON LEWIS (PRESIDENT) |
| Authorized Official Telephone | 5028557200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300012363 | 05 | |
| IN | 201287400B | 05 | |
| IN | 201287400C | 05 | |
| IN | 300014938 | 05 | |
| KY | 7100318140 | 05 | |
| IN | 201287400A | 05 | |
| IN | 300027005 | 05 | |
| KY | 7100270310 | 05 | |
| IN | 300014863 | 05 | |
| IN | 201287400E | 05 | |
| IN | 300009547 | 05 | |
| IL | 1306280177 | 05 | |
| KY | 7100349390 | 05 | |
| KY | 7100488260 | 05 | |
| IN | 300026044 | 05 | |
| KY | 7100607850 | 05 | |
| IN | 300026415 | 05 |
| Other Name | Type Code |
|---|---|
| Commonwealth Pain and Spine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7145 E Virginia St Ste 5000, Evansville, IN 477159143 | 8124767111 | 8124767117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443874 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 2609 New Hartford Rd Ste 3, Owensboro, KY 42303-1316 | 2017-12-19 |
| 1194385237 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 225 Executive Park, Louisville, KY 40207-4202 | 2019-06-20 |
| 1295395341 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2019-06-19 |
| 1225544885 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3602 Northgate Ct Ste 39, New Albany, IN 47150-6417 | 2017-12-19 |
| 1881100444 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 | 2017-12-19 |
| 1780190348 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-12-19 |
| 1942716501 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2017-12-19 |
| Street Address |
120 EXECUTIVE PARK |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862202 | Lisa M Schmidt | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207 | 2005-06-27 |
| 1568012896 | Tracey Frederick | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2019-09-18 |
| 1538672373 | Michele Mcclure | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2017-11-15 |
| 1316398977 | Johnna C Shown | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207 | 2016-06-24 |
| 1467840439 | Mary Tonini | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2014-12-29 |
| 1205187861 | Melanie Dawn Moore | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2012-09-24 |
| 1366751455 | Nicholas Bryce Mullins | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2010-10-07 |
| 1780909952 | Jenna Leigh Dismore Wrinkles | Anesthesiology | 120 Executive Park, Louisville, KY 40207-4201 | 2010-03-31 |
| 1679615686 | Stephen Kyle Young | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2007-02-13 |
| 1063583268 | James W Jackson Jr. | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1265525653 | Bill Walker Haney | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2006-09-30 |
| 1467441915 | Larry L Zhou | Pain Medicine | 1230 S Hurstbourne Pkwy, Unit 120, Louisville, KY 40222-5757 | 2005-10-18 |
| 1073134664 | Commonwealth Pain Associates Pllc | Pain Medicine | 225 Executive Park, Louisville, KY 40207-4202 | 2020-05-05 |
| 1396120820 | Gml Pain Md Psc | Pain Medicine | 11300 Maple Brook Dr, Louisville, KY 40241-2080 | 2015-07-27 |
| 1003195983 | Bluegrass Pain Consultants Pllc | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2011-08-10 |
| 1790096980 | Brandon Michael Sutton | Pain Medicine | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2010-06-23 |
| 1124356811 | Brigid M Buckman | Pain Medicine | 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223-4154 | 2009-11-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.