James W Jackson Jr. (NPI# 1063583268, PAC ID# 7719088277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1063583268 |
| PAC ID by PECOS | 7719088277 |
| Professional Enrollment ID | I20070727000297 |
| Full Name | James W Jackson Jr. |
| Organization Legal Name | COMMONWEALTH PAIN ASSOCIATES PLLC |
| Address |
120 Executive Park Louisville KY 40207-4201 |
| Phone Number | 5028557200 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 0941441919 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1107 Crown Pointe Dr, Suite 107, Elizabethtown, KY 42701-7280 | 2705063300 | COMMONWEALTH PAIN ASSOCIATES PLLC |
| 120 Executive Park, Louisville, KY 40207-4201 | 5028557200 | COMMONWEALTH PAIN ASSOCIATES PLLC |
| Organization Legal Name | COMMONWEALTH PAIN ASSOCIATES PLLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Martin | Physician Assistant | Commonwealth Pain Associates Pllc | 1025 1st Ave W, Jasper, IN 47546-3217 |
| Alanna Marie Smith | Nurse Practitioner | Commonwealth Pain Associates Pllc | 101 Prosperous Pl, Suite 300, Lexington, KY 40509-1836 |
| Chelsea Thorn | Nurse Practitioner | Commonwealth Pain Associates Pllc | 1107 Crown Pointe Dr, Suite 107, Elizabethtown, KY 42701-7280 |
| Megan D Abel | Nurse Practitioner | Commonwealth Pain Associates Pllc | 3602 Northgate Ct, Suite 39, New Albany, IN 47150-6417 |
| Brittany Nichol Harrison | Nurse Practitioner | Commonwealth Pain Associates Pllc | 7145 E Virginia St, Suite 5000, Evansville, IN 47715-9143 |
| Rick Pellant | Physical Medicine and Rehabilitation | Commonwealth Pain Associates Pllc | 100 London Mountain View Dr, Fl 1, London, KY 40741-6668 |
| Angel Miller | Nurse Practitioner | Commonwealth Pain Associates Pllc | 1107 Crown Pointe Dr, Suite 107, Elizabethtown, KY 42701-7280 |
| Michael J Walls | Interventional Pain Management | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Angela Mitchell Clater | Nurse Practitioner | Commonwealth Pain Associates Pllc | 1107 Crown Pointe Dr, Suite 107, Elizabethtown, KY 42701-7280 |
| Barbara Lemmons | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Street Address |
120 EXECUTIVE PARK |
| City | LOUISVILLE |
| State | KY |
| Zip | 40207-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Walls | Interventional Pain Management | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Barbara Lemmons | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Tracy F Terrell | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Marlena Langford | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Gwendolynn N Thomas | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Johnna C Shown | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| David Scott James | Certified Registered Nurse Anesthetist (crna) | Anesthesia Health Consultants | 120 Executive Park, Louisville, KY 40207-4201 |
| Kelsey C O'mara | Physician Assistant | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Wendy Noles | Nurse Practitioner | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| David W Moore | Physician Assistant | Commonwealth Pain Associates Pllc | 120 Executive Park, Louisville, KY 40207-4201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Darrow | Clinical Social Worker | 6011 Brownsboro Park Blvd G, Louisville, KY 40207-1292 | |
| Courtney M Campbell | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Lori Michelle Holt | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Erica Walsh | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Etta N Rosati | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Renee N Poirier | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Bridgid M Mahan | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Courtney C Wayland | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Thomas D Cummins | Plastic and Reconstructive Surgery | 6002 Brownsboro Park Blvd E, Louisville, KY 40207-1298 | |
| Douglas M Johnson | Optometry | Dr. Mark Lynn and Associates, Pllc | 100 W Market St, Louisville, KY 40207-1332 |
| Find all physicians in zip 40207 | |||
| City | LOUISVILLE |
| Zip Code | 40207 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | LOUISVILLE + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.