COMMONWEALTH PAIN SPECIALISTS, LLC; NPI #1215124870

Contact Information

COMMONWEALTH PAIN SPECIALISTS, LLC

1501 MAPLE AVENUE
SUITE 301
RICHMOND, VA 23229

Phone: 804-288-7246
Fax: 804-288-7245
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Pain Medicine	208VP0000X	72	Physician/Pain Management
Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for COMMONWEALTH PAIN SPECIALISTS, LLC

NPI Number 1215124870

LBN Legal business name COMMONWEALTH PAIN SPECIALISTS, LLC

Authorized official STEPHEN LONG - (MEDICAL DIRECTOR/PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2007

Last updated 01/31/2020 - About 6 years ago

Identifiers

VA	License #	0101043055
VA	Other	431692	ANTHEM
VA	Other	CH0711	MEDICARE RAILROAD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMONWEALTH PAIN SPECIALISTS, LLC

Contact Information

Specialty

Interventional Pain Medicine

Pain Medicine

Pain Medicine

Specialist

NPI Profile & details for COMMONWEALTH PAIN SPECIALISTS, LLC

Reviews for COMMONWEALTH PAIN SPECIALISTS, LLC