COMMONWEALTH PAIN ASSOCIATES, PLLC (NPI# 1780190348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780190348 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PAIN ASSOCIATES, PLLC |
| Other Organization Name | COMMONWEALTH PAIN & SPINE |
| Practice Address |
101 Prosperous Pl Ste 300 Lexington KY 40509-1836 |
| Mailing Address |
13000 Equity Pl Ste 203 Louisville KY 40223-3979 |
| Practice Telephone | 8592755229 |
| Practice Fax Number | 8599772683 |
| Mailing Telephone | 5029070356 |
| Mailing Fax Number | 5029199780 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | JASON CARNES LEWIS (OWNER) |
| Authorized Official Telephone | 5028557200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PTAN | K098500 | 01 |
| Other Name | Type Code |
|---|---|
| Commonwealth Pain & Spine | Doing Business As Name - Organization |
| 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 |
| 1942716501 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2017-12-19 |
| 1306280177 | Commonwealth Pain Associates, Pllc | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2013-04-24 |
| Street Address |
101 PROSPEROUS PL STE 300 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003524 | David Wendell Moore | Physician Assistant | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2006-05-24 |
| 1962929307 | Crystal Jane Humphries | Nurse Practitioner | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-08-25 |
| 1558629410 | Brandon Erik Gish | Anesthesiology | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2012-04-30 |
| 1780845347 | Anjum Bux, M.d., P.s.c. | Registered Nurse | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646633 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1030 Monarch St Ste P1, Lexington, KY 40513-1843 | 2020-07-10 |
| 1902425655 | Mercy LLC | Durable Medical Equipment & Medical Supplies | 501 Darby Creek Rd Ste 5, Lexington, KY 40509-1605 | 2020-04-13 |
| 1780215202 | Hbg Solutions LLC | Durable Medical Equipment & Medical Supplies | 415 Chinoe Rd, Lexington, KY 40502-2351 | 2020-02-03 |
| 1619532264 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 S Upper St, Lexington, KY 40508-2920 | 2019-05-08 |
| 1205313517 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5441 Platt Springs Rd, Lexington, SC 29073-9260 | 2018-07-20 |
| 1184110231 | Interventional Pain & Spine Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2700 Old Rosebud Rd Ste 350, Lexington, KY 40509-8630 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1477055499 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 393 Waller Ave Ste 5, Lexington, KY 40504-2914 | 2018-03-06 |
| 1013421486 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 881 Nandino Blvd Ste 7, Lexington, KY 40511-1238 | 2017-11-21 |
| 1376054213 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3650 Boston Rd Ste 110, Lexington, KY 40514-1564 | 2017-10-18 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on COMMONWEALTH PAIN ASSOCIATES, PLLC.
| 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.