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Commonwealth Pain Associates, PLLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lexington, KY

NPI 1780190348 · NPPES record last updated Dec 19, 2017

Key facts

NPI
1780190348
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
COMMONWEALTH PAIN ASSOCIATES, PLLC
Practice address
101 Prosperous PL Ste 300
Lexington, KY 40509-1836
Phone
(859) 275-5229
Fax
(859) 977-2683
NPI assigned
Dec 19, 2017
Organization subpart
No

Authorized official

Name
Jason Carnes Lewis, MD NPI 1720127913
Title
Owner
Phone
(502) 855-7200

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

Other NPIs with the same Medicare PAC ID 23

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

Corporate family (same tax ID) 37

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

View all 37

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 156

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180426002934 KY DME Supplier - Physician - Interventional Pain Management 0941441919 Practice locations: Lexington, KY

National Provider Directory

Tax ID family
Commonwealth Pain Spine (38 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

101 Prosperous PL Ste 300
Lexington, KY 40509-1836

Mailing address

13000 Equity PL Ste 203
Louisville, KY 40223-3979
Phone (502) 907-0356

Other identifiers

IdentifierTypeStateIssuer
K098500OtherKYMEDICARE PTAN

Other names

  • Commonwealth Pain & Spine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2017.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1780190348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PL STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233979",
            "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": "101 PROSPEROUS PL STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091836",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PAIN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "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": "502-855-7200",
        "authorized_official_credential": "MD"
    },
    "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 PTAN",
            "identifier": "K098500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Pain & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

All providers in Lexington, KY · Durable Medical Equipment & Medical Supplies in Kentucky

Sources for this page

Verify at the official NPI Registry.