Commonwealth Pain Associates, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COMMONWEALTH PAIN ASSOCIATES, PLLC

Doing business as

Commonwealth Pain & Spine

Practice address

1418 College Dr
Mount Carmel, IL 62863-2638

Phone

(812) 476-7111

Fax

(812) 476-7117

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Carnes Lewis

Title

Owner

Phone

(502) 855-3919

Specialties & licenses 1

Addresses

Other names 1

• Commonwealth Pain & Spine Doing business as

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1295395341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-409-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PAIN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Pain & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Carr
• Michael Patrick Cheesman, PA-C
• Christina P Lynn, MD
• Cheryl Clemens, SLP
• Mattie Colbert
• Julia Corwin, MS, PA-C; MS, ATC
• Lauren Spencer Croft, M.D.
• Andrea S. Cruse, LCSW
• Michelle Lyn Daniel
• David R Miller DDS PC

• Durable Medical Equipment & Medical Supplies in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.