Commonwealth Pain And Wellness Center LLC
Pain Medicine, Interventional Pain Medicine in Edwardsville, PA. Organization (NPI-2).
NPI number1164047718
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1164047718
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Pain And Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Dec 2, 2025
- Last updated
- Dec 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
468 Northampton StEdwardsville, PA 18704-4566
Phone 917-495-6239
Mailing address
468 Northampton StEdwardsville, PA 18704-4566
Phone 570-763-7467 · Fax 833-955-3672
Authorized official
Fred Usoh
Physician Owner
9174956239
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Interventional Pain Medicine Physician providers in Edwardsville, PA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.