COMMONWEALTH PAIN ASSOCIATES, PLLC (NPI# 1942716501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942716501 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PAIN ASSOCIATES, PLLC |
| Other Organization Name | COMMONWEALTH PAIN & SPINE |
| Practice Address |
520 S 7th St # 159 Vincennes IN 47591-1038 |
| Mailing Address |
13000 Equity Pl Ste 203 Louisville KY 40223-3979 |
| Practice Telephone | 8123160327 |
| Practice Fax Number | 8124767117 |
| 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 |
|---|---|---|---|
| IN | 201287400E | 05 |
| 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 |
| 1780190348 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-12-19 |
| 1306280177 | Commonwealth Pain Associates, Pllc | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2013-04-24 |
| Street Address |
520 S 7TH ST # 159 |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396921219 | Heather J Ruccio | Physician Assistant | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2008-01-10 |
| 1831710581 | Leeann Roberts | Nurse Practitioner | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2020-05-05 |
| 1821268137 | Tonya Jo Harper | Nurse Practitioner | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| 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 |
|---|---|---|---|---|
| 1932673001 | Truarch Inc | Durable Medical Equipment & Medical Supplies | 2801 N 6th St Ste E, Vincennes, IN 47591-3660 | 2019-01-11 |
| 1861581530 | Harmon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 415 Vigo Street, Vincennes, IN 47591-1143 | 2006-10-12 |
| 1932126240 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 650 Kimmell Rd, Vincennes, IN 47591-6341 | 2006-07-16 |
| 1366475113 | Williams Bros Health Care Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1216 Washington Ave, Vincennes, IN 47591-2245 | 2006-07-07 |
| 1831137496 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1128 S 15th St, Vincennes, IN 47591-4224 | 2006-06-03 |
| 1043293392 | M. G. Grundman & Sons Inc | Durable Medical Equipment & Medical Supplies | 906 N 7th St, Vincennes, IN 47591-3108 | 2005-11-21 |
| 1467812347 | Advanced Pain Management, Sc | Durable Medical Equipment & Medical Supplies | 1813 Willow St, Suite 4d, Vincennes, IN 47591-4276 | 2016-03-04 |
| 1477927424 | Hls Pharmacies, Inc. | Durable Medical Equipment & Medical Supplies | 321 N 2nd St, Vincennes, IN 47591-1304 | 2015-11-13 |
| 1396055877 | Hls Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 321 N 2nd St, Vincennes, IN 47591-1304 | 2010-10-18 |
| 1558536383 | Prorehab At Vincennes, LLC | Durable Medical Equipment & Medical Supplies | 2121 Willow St, Vincennes, IN 47591-5355 | 2008-04-23 |
| Find all providers in VINCENNES | ||||
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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.