COMMONWEALTH PAIN ASSOCIATES, PLLC (NPI# 1295395341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295395341 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PAIN ASSOCIATES, PLLC |
| Practice Address |
1418 College Dr Mount Carmel IL 62863-2638 |
| Mailing Address |
120 Executive Park Louisville KY 40207-4201 |
| Practice Telephone | 8124767111 |
| Practice Fax Number | 8124767117 |
| Mailing Telephone | 5024099925 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | JASON CARNES LEWIS (OWNER) |
| Authorized Official Telephone | 5028553919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Commonwealth Pain & Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443874 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 2609 New Hartford Rd Ste 3, Owensboro, KY 42303-1316 | 2017-12-19 |
| 1194385237 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 225 Executive Park, Louisville, KY 40207-4202 | 2019-06-20 |
| 1225544885 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3602 Northgate Ct Ste 39, New Albany, IN 47150-6417 | 2017-12-19 |
| 1881100444 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 | 2017-12-19 |
| 1780190348 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-12-19 |
| 1942716501 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2017-12-19 |
| 1306280177 | Commonwealth Pain Associates, Pllc | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2013-04-24 |
| Street Address |
1418 COLLEGE DR |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728808 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2005-05-27 |
| 1871110213 | Sabrina Waldroup | Nurse Practitioner | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-07-01 |
| 1326664228 | Rachel Lynn Metz | Physician Assistant | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-06-17 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| 1396135885 | Christopher Slane | Nurse Anesthetist, Certified Registered | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2015-02-04 |
| 1487063723 | Samuel Hodges | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-12 |
| 1376952721 | Adrian Jonel Ola | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-11 |
| 1619229986 | Jill Marie Wilkinson | Physical Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-10 |
| 1447502182 | Dana Elaine Hawkins | Occupational Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-04 |
| 1750632857 | Julie Marie Goldman | Physical Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
| Find all providers in zip 62863 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689772329 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2678 W 3rd St, Mount Carmel, PA 17851-1881 | 2006-09-20 |
| 1982655916 | Associated Surgical Supply | Durable Medical Equipment & Medical Supplies | 31 E 5th St, Mount Carmel, PA 17851-2179 | 2006-05-15 |
| 1427619865 | Houchens Express Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1325 W 9th St, Mount Carmel, IL 62863-2906 | 2019-06-26 |
| 1174941231 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1520 W 9th St, Mount Carmel, IL 62863-2909 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
Please comment or provide details below to improve the information on COMMONWEALTH PAIN ASSOCIATES, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.