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COMMONWEALTH PAIN ASSOCIATES PLLC NPI 1659024917


NPI Information

NPI: 1659024917
Provider Name: COMMONWEALTH PAIN ASSOCIATES PLLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 18D2101595

Address:
1107 CROWN POINTE DR STE 107
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-3300
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COMMONWEALTH PAIN ASSOCIATES PLLC is a non pharmacy dispensing site in Elizabethtown, KY. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) COMMONWEALTH PAIN ASSOCIATES PLLC NPI is 1659024917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1107 CROWN POINTE DR STE 107
ELIZABETHTOWN, KY
ZIP 42701-280
Phone: (270) 506-3300
Fax: (270) 506-2843

The provider's authorized official is Jason Carnes Lewis .
The authorized official title is Owner and has the following contact phone number (502) 855-3919.

The CLIA number assigned to this NPI record is 18D2101595 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2022 and was last updated on 1/27/2022.


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
1208VP0014XPain MedicineInterventional Pain MedicineNo
2332900000XNon-Pharmacy Dispensing SiteYes

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: 11/14/2023

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.