COMMONWEALTH PAIN ASSOCIATES PLLC NPI 1720743917

NPI Information

  • NPI: 1720743917
  • Provider Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • CLIA Number: 18D2279588
  • Address: 120 EXECUTIVE PARK
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 855-7200

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NPI Details

COMMONWEALTH PAIN ASSOCIATES PLLC is a non pharmacy dispensing site in Louisville, 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 1720743917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207-201
Phone: (502) 855-7200
Fax: (502) 855-7201

The provider's authorized official is Stephen Young .
The authorized official title is Md and has the following contact phone number (502) 855-7200.

The CLIA number assigned to this NPI record is 18D2279588 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 11/3/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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