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Commonwealth Health Corporation, Inc

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Bowling Green, KY

NPI 1104331479 · NPPES record last updated Jun 6, 2026

Key facts

NPI
1104331479
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
COMMONWEALTH HEALTH CORPORATION, INC
Practice address
250 Park St
Bowling Green, KY 42101-1760
Phone
(270) 745-1111
Fax
(270) 745-1026
NPI assigned
Dec 8, 2017
Organization subpart
No

Authorized official

Name
Michele W Lawless
Title
Executive Vice President & Cfo
Phone
(270) 745-1500

Other NPIs on the same Medicare enrollment 42

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 42

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Cassandra Collette Blackwell, DO Internal Medicine Physician · Bowling Green, KY · NPI 1497333488
    NPD
  • Jacob R. Bliss, CRNA Certified Registered Nurse Anesthetist · Lexington, KY · NPI 1912388539
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Marty D Casebier, MD Internal Medicine Physician · Powderly, KY · NPI 1588665053
    NPD
  • Casey Ceri Certified Registered Nurse Anesthetist · Franklin, KY · NPI 1528505666
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Eduardo Go De Los Reyes, MD Pain Medicine (Anesthesiology) Physician · Bowling Green, KY · NPI 1972599660
    NPD ANESTHESIOLOGY
  • Daniel Etheridge, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1043649809
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Timothy Robert Garrett, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1801568753
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • John Paul Garrity, CRNA Certified Registered Nurse Anesthetist · Elizabethtown, KY · NPI 1366915621
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • John D. Gover, M.D. Internal Medicine Physician · Bowling Green, KY · NPI 1467450635
    NPD
  • Samuel F. Hardcastle, M.D. Internal Medicine Physician · Bowling Green, KY · NPI 1235133083
    NPD
  • Patrick Kevin Hayden, M.D. Family Medicine Physician · Russellville, KY · NPI 1295847184
    NPD
  • Caitlan Hogue, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1154865863
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Mohammed Kazimuddin, MD FACC FSCAI Interventional Cardiology Physician · Bowling Green, KY · NPI 1053310409
    NPD
  • Leigh K Lindsey, CNM Advanced Practice Midwife · Bowling Green, KY · NPI 1326034133
    NPD
  • Meagan Nicole Moore, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1104418078
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Taylor Michael Mudd Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1316427164
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Aleksander Nagornay, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1326695487
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Wesley Oliver Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1386216323
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Wendy Leanne Pearce, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1437285962
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Dave M Purcell, MD Anesthesiology Physician · Corbin, KY · NPI 1235241183
    NPD ANESTHESIOLOGY
  • Navjot Kaur Rai, MD Hospitalist Physician · Bowling Green, KY · NPI 1396310496
    NPD
  • Mark Leonard Ritter, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1932194404
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Emily Ross, MD Family Medicine Physician · Bowling Green, KY · NPI 1255960431
    NPD
  • Tony E Sell, CRNA Certified Registered Nurse Anesthetist · Lexington, KY · NPI 1407094634
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED
  • Kali B Weber, CRNA Certified Registered Nurse Anesthetist · Bowling Green, KY · NPI 1568134021
    NPD NURSE ANESTHETIST, CERTIFIED REGISTERED

View all 36

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040916000800 KY Part B Supplier - Clinic/Group Practice 5496667628 Receives reassigned benefits from 306 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Commonwealth Health (32 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP		 367500000X

Addresses

Primary practice location

250 Park St
Bowling Green, KY 42101-1760

Mailing address

PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1111

Other identifiers

IdentifierTypeStateIssuer
7100393930MedicaidKY
7100499550MedicaidKY
7100501070MedicaidKY

Other names

  • MED CENTER HEALTH ANESTHESIA Doing business as

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Pain Medicine (Anesthesiology) Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.