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COMMONWEALTH PAIN AND WELLNESS CENTER LLC
NPI 1164047718
Pain Medicine - Interventional Pain Medicine in Edwardsville, PA

Active since June 10, 2020CLIA 39D2129159 · Waiver
468 NORTHAMPTON ST, EDWARDSVILLE, PA 18704(917) 495-6239 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Nov 10, 2025, Jun 10, 2020 (3 updates tracked since 2020).

About Commonwealth Pain And Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMONWEALTH PAIN AND WELLNESS CENTER LLC (NPI 1164047718) is a healthcare organization registered as an interventional pain medicine in Edwardsville, Pennsylvania and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Fred Usoh, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1164047718
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCOMMONWEALTH PAIN AND WELLNESS CENTER LLC
Location Address468 NORTHAMPTON STEdwardsville, PA 18704-4566
Mailing Address468 Northampton StEdwardsville, PA 18704-4566 · (570) 763-7467 · Fax (833) 955-3672
Phone(917) 495-6239
Organization SubpartNo
Authorized OfficialFred UsohPhysician Owner · (917) 495-6239
Enumeration DateJune 10, 2020
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1164047718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
468 NORTHAMPTON ST, Edwardsville, PA 18704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2129159

Commonwealth Pain & Wellness Ctr · Edwardsville, PA
Active · expires Apr 12, 2027
CLIA Number39D2129159
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Fred Usoh
Laboratory Phone(570) 763-7467
Laboratory LocationCommonwealth Pain & Wellness Ctr468 Northampton St Suite 7, Edwardsville, PA 18704
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY FARRELL MD
Psychiatry & Neurology (Neurology)
468 NORTHAMPTON ST
KINGSTON, PA 18704
Luzerne County (570) 283-0868
DASA SATYAM
Pain Medicine (Interventional Pain Medicine)
468 NORTHAMPTON ST
EDWARDSVILLE, PA 18704
Luzerne County (570) 718-1307
ROHIT SINGH MD PC
Pain Medicine (Pain Medicine)
468 NORTHAMPTON ST, STE 103
EDWARDSVILLE, PA 18704
Luzerne County (570) 718-1307
VNA AN AFFILIATE OF WVHCS
Home Health
468 NORTHAMPTON ST
EDWARDSVILLE, PA 18704
Luzerne County (570) 552-4000
DR. ALBERT J ANTONELLO D.C.
Chiropractor
468 NORTHAMPTON ST
EDWARDSVILLE, PA 18704
Luzerne County (570) 714-5050
KEYSTONE PAIN CENTER LLC
Anesthesiology (Pain Medicine)
468 NORTHAMPTON ST
EDWARDSVILLE, PA 18704
Luzerne County (570) 718-1307
VNA AN AFFILIATE OF WVHCS
Hospice Care, Community Based
468 NORTHAMPTON ST
EDWARDSVILLE, PA 18704
Luzerne County (570) 552-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Pain And Wellness Center LLC's NPI number?

The NPI number for Commonwealth Pain And Wellness Center LLC is 1164047718. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Commonwealth Pain And Wellness Center LLC located?

Commonwealth Pain And Wellness Center LLC is located at 468 Northampton St, Edwardsville, PA 18704. The listed phone number is (917) 495-6239.

What is Commonwealth Pain And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Commonwealth Pain And Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2129159) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Commonwealth Pain And Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Commonwealth Pain And Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Commonwealth Pain And Wellness Center LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.