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COMMONWEALTH PAIN SPECIALISTS LLC NPI 1215124870


NPI Information

NPI: 1215124870
Provider Name: COMMONWEALTH PAIN SPECIALISTS, LLC

Doing Business As: COMMONWEALTH PAIN SPECIALISTS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 49D1062006

Address:
1501 MAPLE AVENUE
SUITE 301
RICHMOND, VA
ZIP 23229
Phone: (804) 288-7246
Get Directions

COMMONWEALTH PAIN SPECIALISTS, LLC is an interventional pain medicine pain medicine in Richmond, VA. 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 SPECIALISTS, LLC NPI is 1215124870. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Commonwealth Pain Specialists.

The provider's business location address is:

1501 MAPLE AVENUE
SUITE 301
RICHMOND, VA
ZIP 23229
Phone: (804) 288-7246
Fax: (804) 288-7245

The provider's authorized official is Stephen P Long .
The authorized official title is Medical Director/partner and has the following contact phone number (804) 288-7246.

The CLIA number assigned to this NPI record is 49D1062006 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 1/31/2020.


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
1174400000XSpecialist0101043055VIRGINIANo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

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
1431692OTHERVIRGINIAANTHEM
2CH0711OTHERVIRGINIAMEDICARE RAILROAD

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

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