Active NPI
Commonwealth Pain Associates PLLC
- Durable Medical Equipment & Medical Supplies
- Carrollton, KY
National Provider Identifier
1982184925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COMMONWEALTH PAIN ASSOCIATES PLLC
- Practice address
- 309 11TH St
Carrollton, KY 41008-1435 - Phone
- (502) 855-7200
- Fax
- (502) 855-7201
- NPI assigned
- Aug 20, 2018
- 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
- Title
- Owner
- Phone
- (502) 855-3919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
309 11TH St
Carrollton, KY 41008-1435
Mailing address
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 907-0356
Other names 1
- Commonwealth Pain & Spine
National Provider Directory
National Provider DirectoryLocations
935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Elizabethtown, KY
- NPI 1619308046
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1447494935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534723200000",
"number": "1982184925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074201",
"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": "309 11TH ST",
"city": "CARROLLTON",
"state": "KY",
"postal_code": "410081435",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH PAIN ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Commonwealth Pain & Spine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.