DR. EVAN MICHAEL LEWIS (NPI# 1023458304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023458304 |
| Entity Type | Individual |
| Full Name | DR. EVAN MICHAEL LEWIS |
| Credential | D.P.M. |
| Practice Address |
147 Reinhardt College Pkwy Ste 10 Canton GA 30114-5295 |
| Mailing Address |
1975 Highway 54 W Ste 205 Peachtree City GA 30269-4794 |
| Practice Telephone | 4702747763 |
| Practice Fax Number | 7702134152 |
| Mailing Telephone | 7707168732 |
| Mailing Fax Number | 7704871204 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001344 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 788 | TN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184145419 | Evan A Lewis | Physical Therapist | 16310 Bothell Everett Hwy Ste C, Mill Creek, WA 98012-1284 | 2017-06-27 |
| 1760824056 | Evan Cole Lewis | Student in an Organized Health Care Education/Training Program | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-07-26 |
| 1205148913 | Evan Miller Lewis | Neurological Surgery | 1717 N E St Ste 422, Pensacola, FL 32501-6333 | 2010-07-10 |
| Street Address |
147 REINHARDT COLLEGE PKWY STE 10 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1083008221 | Donald A Leright Dpm Pllc | Podiatrist | 46036 Michigan Ave, Suite 286, Canton, MI 48188-2304 | 2015-03-25 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1457562175 | Janay L Harper Dpm Pllc | Podiatrist | 156 River Oaks Dr Ste B, Canton, MS 39046-5376 | 2007-05-24 |
| 1790868826 | Hon W Fong Dpm Pllc | Podiatrist | 2050 N Haggerty Rd Ste 120, Canton, MI 48187-3796 | 2006-10-23 |
| 1871675009 | George Madson Kemper Jr. | Podiatrist | 5454 Fulton Dr Nw, Canton, OH 44718-1727 | 2006-10-19 |
| 1215027420 | Robert I Lubin | Podiatrist | 8552 N Canton Center Rd, Canton, MI 48187-1310 | 2006-10-16 |
| 1750477493 | Thomas Richard Nystrom | Podiatrist | 80 East Main St, Canton, NY 13617 | 2006-10-04 |
| 1982795365 | Canton Podaitry Associates | Podiatrist | 742 Washington St, Canton, MA 02021-3039 | 2006-09-28 |
| 1558387423 | Scott M Aronson | Podiatrist | 1017 Turnpike St Ste 12b, Canton, MA 02021-2847 | 2006-07-14 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.