Active NPI
Commonwealth Pain Specialists, PLLC
- Pain Medicine (Anesthesiology) Physician
- Frankfort, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- COMMONWEALTH PAIN SPECIALISTS, PLLC
- Practice address
- 279 Kings Daughters Dr
Suite 100
Frankfort, KY 40601 - Phone
- (502) 352-2530
- Fax
- (502) 352-2534
- NPI assigned
- Oct 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamia Fisher
- Title
- Credentialing Specialist
- Phone
- (812) 962-7894
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
279 Kings Daughters Dr
Suite 100
Frankfort, KY 40601
Mailing address
7145 E Virginia St Ste 2000
Evansville, IN 47715-9147
Phone (812) 962-7890
Other practice location 1
4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156
Phone (502) 290-7246
Other practice location 2
2443 Sir Barton Way Ste 275
Lexington, KY 40509-2707
Phone (502) 352-2530
Other practice location 3
1048 Ashley St Ste 103A
Bowling Green, KY 42103-2449
Phone (502) 352-2530
Other practice location 4
2700 Old Rosebud Rd Ste 350
Lexington, KY 40509-8630
Phone (502) 352-2530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100291160 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
7145 E Virginia St
Evansville, IN 47715
Phone (812) 853-2229
2443 Sir Barton Way
Lexington, KY 40509
Phone (812) 476-6162
4201 Springhurst Blvd
Ste 102
Louisville, KY 40241
Phone (502) 515-6090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570406400000",
"number": "1700161981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST STE 2000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159147",
"telephone_number": "812-962-7890",
"fax_number": "812-476-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 KINGS DAUGHTERS DR",
"address_2": "SUITE 100",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "40601",
"telephone_number": "502-352-2530",
"fax_number": "502-352-2534"
}
],
"practiceLocations": [
{
"address_1": "4201 Springhurst Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402416156",
"country_code": "US",
"telephone_number": "502-290-7246",
"fax_number": "812-476-6162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2443 Sir Barton Way Ste 275",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092707",
"country_code": "US",
"telephone_number": "502-352-2530",
"fax_number": "859-447-8287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1048 Ashley St Ste 103A",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421032449",
"country_code": "US",
"telephone_number": "502-352-2530",
"fax_number": "859-447-8287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 Old Rosebud Rd Ste 350",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405098630",
"country_code": "US",
"telephone_number": "502-352-2530",
"fax_number": "859-447-8287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMONWEALTH PAIN SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2019-10-07",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "TAMIA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "812-962-7894"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100291160",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.