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Contact Information

COMMONWEALTH PAIN SPECIALISTS, LLC
1501 MAPLE AVENUE
SUITE 301
RICHMOND, VA23229
 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

NPI Profile & details for COMMONWEALTH PAIN SPECIALISTS, LLC

NPI # 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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