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Organization

COMMONWEALTH PAIN ASSOCIATES, PLLC

Active
Other names
Commonwealth Pain and Spine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON LEWIS M.D. (PRESIDENT)
(502) 855-7200
Entity
Organization

Contact information

Practice address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
225100000X
Physical Therapist
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0300626
OH
05
1306280177
IL
05
1306280177
NC
05
201287400A
IN
05
201287400B
IN
05
201287400C
IN
05
201287400E
IN
05
300009547
IN
05
300012363
IN
05
300014863
IN
05
300014938
IN
05
300026044
IN
05
300026415
IN
05
300027005
IN
05
300050981
IN
05
300061140
IN
05
300073973
IN
05
7100270310
KY
05
7100318140
KY
05
7100349390
KY
05
7100488260
KY
05
7100607850
KY
05
PG2591
SC
05
PG2642
SC
05
PG2643
SC
05
PG2644
SC
05
Q091113
TN
05
QPC852
SC
Enumeration date
04/24/2013
Last updated
03/12/2026
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