Active NPI
Commonwealth Pain Associates PLLC
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
National Provider Identifier
1841968427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COMMONWEALTH PAIN ASSOCIATES PLLC
- Practice address
- 5435 Pearl Dr Ste 4B
Evansville, IN 47712-8103 - Phone
- (812) 476-7111
- Fax
- (812) 476-7117
- NPI assigned
- Aug 31, 2021
- 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
- Jason Carnes Lewis, MD
- Title
- Managing Partner
- Phone
- (502) 855-3919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5435 Pearl Dr Ste 4B
Evansville, IN 47712-8103
Mailing address
223 Executive Park
Louisville, KY 40207-4202
Phone (502) 907-0356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300050981 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1841968427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074202",
"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": "5435 PEARL DR STE 4B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477128103",
"telephone_number": "812-476-7111",
"fax_number": "812-476-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH PAIN ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "CARNES",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "502-855-3919",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300050981",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Comaier Services, Inc.
- Elizabeth Combs, LSW
- Comfort Compression, LLC
- Committed Transportation Services LLC
- Commonwealth Pain Associates PLLC
- Compassionate Healing Counseling Service, LLC
- Compassus of Indiana I, LLC
- Complete Anesthesia & Pain LLC
- Comprehensive Neurosurgical Specialists, LLC
- George Compton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.