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COMMONWEALTH PAIN ASSOCIATES PLLC NPI 1306280177


NPI Information

NPI: 1306280177
Provider Name: COMMONWEALTH PAIN ASSOCIATES, PLLC

Doing Business As: COMMONWEALTH PAIN AND SPINE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
Get Directions

COMMONWEALTH PAIN ASSOCIATES, PLLC is an interventional pain medicine pain medicine in Louisville, KY. The provider is 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. COMMONWEALTH PAIN ASSOCIATES, PLLC NPI is 1306280177. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Commonwealth Pain And Spine.

The provider's business location address is:

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
Fax: (502) 855-7201

The provider's authorized official is Jason Lewis .
The authorized official title is President and has the following contact phone number (502) 855-7200.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4208VP0014XPain MedicineInterventional Pain MedicineYes
5225100000XPhysical TherapistNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7363A00000XPhysician AssistantNo
8363AM0700XPhysician AssistantMedicalNo
9363L00000XNurse PractitionerNo
10363LA2200XNurse PractitionerAdult HealthNo
11363LF0000XNurse PractitionerFamilyNo
12367500000XNurse Anesthetist, Certified RegisteredNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300073973MEDICAIDINDIANA
21306280177MEDICAIDILLINOIS
3201287400EMEDICAIDINDIANA
4300009547MEDICAIDINDIANA
5300050981MEDICAIDINDIANA
6201287400BMEDICAIDINDIANA
7300014938MEDICAIDINDIANA
87100318140MEDICAIDKENTUCKY
97100349390MEDICAIDKENTUCKY
107100607850MEDICAIDKENTUCKY
11300012363MEDICAIDINDIANA
12201287400AMEDICAIDINDIANA
13300014863MEDICAIDINDIANA
14300026415MEDICAIDINDIANA
15300027005MEDICAIDINDIANA
16300061140MEDICAIDINDIANA
177100488260MEDICAIDKENTUCKY
18201287400CMEDICAIDINDIANA
19300026044MEDICAIDINDIANA
207100270310MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.