NPIMap

Organization Active NPI

Commonwealth Pain Associates PLLC

  • Non-Pharmacy Dispensing Site
  • Elizabethtown, KY
National Provider Identifier
1659024917
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
COMMONWEALTH PAIN ASSOCIATES PLLC
Practice address
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone
(270) 506-3300
Fax
(270) 506-2843
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280

Mailing address

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1659024917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017280",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017280",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PAIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-14",
        "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": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.