Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Organization
COMMONWEALTH PAIN ASSOCIATES, PLLC
Active
Other names
Commonwealth Pain & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
3602 NORTHGATE CT STE 39, NEW ALBANY, IN 47150-6417
(812) 670-5684
(812) 941-0814
Mailing address
13000 EQUITY PL STE 203, LOUISVILLE, KY 40223-3979
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201287400C
—
IN
01
—
IN2373
MEDICARE PTAN
IN
Enumeration date
12/19/2017
Last updated
12/19/2017
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