NPIMap

Organization Active NPI

Commonwealth Pain Associates PLLC

Doing business as Commonwealth Pain And Spine

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
National Provider Identifier
1114753720
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMMONWEALTH PAIN ASSOCIATES PLLC
Doing business as
Commonwealth Pain And Spine
Practice address
110 Lone Oak Rd Ste 124
Paducah, KY 42001-4435
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Carnes LewisNPI 1720127913
Title
Owner
Phone
(502) 855-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

110 Lone Oak Rd Ste 124
Paducah, KY 42001-4435

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
K098500OtherKYMEDICARE

Other names 1

  • Commonwealth Pain And Spine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126001882 KY DME Supplier - Physician - Interventional Pain Management 0941441919 Practice locations: Paducah, KY

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pain Spine38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

5435 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (810) 347-6711

5435 Pearl Dr
Ste 4B
Evansville, IN 47712

972 Emerson Pkwy
Ste A1
Greenwood, IN 46143

600 W 13th St
Ste 268
Jasper, IN 47546

1373 E State Road 62
Ste 1B
Madison, IN 47250
Phone (502) 423-7246

520 S 7th St
#159
Vincennes, IN 47591
Phone (812) 316-0327

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

1112 S Main St
Ste 7
Franklin, KY 42134
Phone (270) 745-7246

1216 N Race St
Glasgow, KY 42141
Phone (270) 651-7246

4420 Dixie Hwy
Ste 107
Louisville, KY 40216

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

110 Lone Oak Rd
Ste 124
Paducah, KY 42001
Phone (812) 625-3070

127 Ben Casey Dr
Ste 103
Fort Mill, SC 29708
Phone (502) 885-7200

805 Montague Ave
Greenwood, SC 29649

325 W Morris Blvd
Ste A
Morristown, TN 37813

Practitioners & affiliated clinicians

Practitioners 224

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 224

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1114753720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONE OAK RD STE 124",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014435",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PAIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CARNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-855-3919"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K098500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Pain And Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.