Organization Active NPI

Commonwealth Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Frankfort, KY
National Provider Identifier
1700161981
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Oct 7, 2019

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7100291160MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.