NPIMap

Organization Active NPI

Commonwealth Pain Associates PLLC

  • Non-Pharmacy Dispensing Site
  • Lexington, KY
National Provider Identifier
1992456651
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
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
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandon Gish
Title
Partner
Phone
(502) 855-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

101 Prosperous PL Ste 300
Lexington, KY 40509-1836

Mailing address

101 Prosperous PL Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pain Spine38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1992456651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GISH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-855-7200"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.