DR. PAUL SCOTT LEWIS (NPI# 1033211743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211743 |
| Entity Type | Individual |
| Full Name | DR. PAUL SCOTT LEWIS |
| Credential | D.D.S. |
| Practice Address |
2620 Stewart Ave Suite 216 Wausau WI 54401-4170 |
| Practice Telephone | 7158423506 |
| Mailing Telephone | 7158423506 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3615 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1255605887 | Paul Kenneth Lewis | Pharmacist | 401 E Chestnut St Unit 180, Louisville, KY 40202-5701 | 2012-02-29 |
| 1265705164 | Paul Leroy Lewis | Pathology | 521 Baird Road, Merion Station, PA 19066 | 2012-02-23 |
| 1235358458 | Paul Edward Lewis | Acupuncturist | 1881 S Delsea Dr, Vineland, NJ 08360-6398 | 2007-04-25 |
| 1770615312 | Paul Yosepa Lewis | Specialist | 1605a S Main St, Broken Arrow, OK 74012-5604 | 2007-03-09 |
| 1033248372 | Paul Roberson Lewis | Pharmacist | 202 Glen Trl, Brandon, MS 39047-6355 | 2007-03-04 |
| 1962544437 | Paul Lee Lewis | Dentist | 2802 North Saginaw Road, Midland, MI 48640-2634 | 2007-02-13 |
| 1780754028 | Paul Wesley Lewis | Radiology | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2006-11-08 |
| 1649241811 | Paul C. Lewis | Orthopaedic Surgery | 6815 Dixie Hwy Ste 1, Clarkston, MI 48346-2092 | 2006-01-27 |
| 1295721603 | Paul E Lewis IIi | Family Medicine | 11800 Tech Rd, Silver Spring, MD 20904 | 2005-09-21 |
| Street Address |
2620 STEWART AVE SUITE 216 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972616795 | Shannon C Schaefer | Psychologist | 2620 Stewart Ave, Suite 318, Wausau, WI 54401-4170 | 2006-08-16 |
| 1841411659 | David E Krigbaum Dds Sc | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2007-05-01 |
| 1528285392 | Sandra J. Grass | Counselor | 2620 Stewart Ave, Ste 310, Wausau, WI 54401-4162 | 2007-04-20 |
| 1932322427 | Michael Miles | Dentist | 2620 Stewart Ave, Suite 212, Wausau, WI 54401-4170 | 2007-04-11 |
| 1275601940 | Steven B Demille | Dentist | 2620 Stewart Ave, Suite 214, Wausau, WI 54401-4170 | 2006-12-01 |
| 1730253147 | Patricia Ann Cotrone | Counselor | 2620 Stewart Ave, Suite 310, Wausau, WI 54401-4170 | 2006-11-17 |
| 1750453049 | David Edmund Krigbaum | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2006-11-14 |
| 1427144054 | Charis Counseling, LLC | Psychologist | 2620 Stewart Ave, Ste 310, Wausau, WI 54401 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306903786 | Susan Stacker | Dentist | 1220 N 6 Street, Wausau, WI 54401-1220 | 2007-01-03 |
| 1497819585 | Susan Stacker Dds Sc | Dentist | 1220 6th Street, Wausau, WI 54403-3550 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| 1285937557 | Craig William Byers | Dentist | 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 | 2010-12-08 |
| 1558662387 | Jason William Cooke | Dentist | 2557b E Calumet St, Appleton, WI 54915-4748 | 2010-11-10 |
| 1780998997 | Thomas C. Kelley Dds Msd LLC | Dentist | 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 | 2010-07-29 |
| 1376789933 | Shoreline Periodontics Limited | Dentist | 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 | 2008-12-31 |
| 1003052895 | James P. Herman | Dentist | 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 | 2008-12-28 |
| 1760684930 | Jeffrey Joseph Burke | Dentist | 2323 S 109th St Ste 275, West Allis, WI 53227-1912 | 2007-06-01 |
| 1992915276 | Scott George Metskas | Dentist | 3364 Iris Ln, Stevens Point, WI 54481-5618 | 2007-05-23 |
| 1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
| 1891903043 | Denise Y Shih | Dentist | 2853 N Marietta Ave, Milwaukee, WI 53211-3420 | 2007-05-20 |
| Find all providers with the same taxonomy | ||||
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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.