DR. JODY PARKS LEWIS (NPI# 1053571638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053571638 |
| Entity Type | Individual |
| Full Name | DR. JODY PARKS LEWIS |
| Credential | M.D. |
| Practice Address |
3001 Lyndhurst Ave Winston Salem NC 27103 |
| Mailing Address |
3001 Lyndhurst Ave Winston Salem NC 27103-4007 |
| Practice Telephone | 3367650383 |
| Practice Fax Number | 3367606918 |
| Mailing Telephone | 3367650383 |
| Mailing Fax Number | 3367606918 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 90092 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2013-01227 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TRICARE | 1053571638 | 01 |
| NC | BCBS | 179R0 | 01 |
| NC | 1053571638 | 05 | |
| NC | AETNA | 5084978 | 01 |
| NC | PARTNERS | 1053571638 | 01 |
| NC | UNITED HEALTHCARE | 3650930 | 01 |
| SC | SC MEDICAID | Q27017 | 01 |
| NC | MEDCOST | 267246 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Wake Forest University Bapist Medical Ctr, Medical Center Boulevard, Winston Salem, NC 271570001 | 3367162255 | 3367163202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780934745 | Jody Lewis | Massage Therapist | 12 S Monroe St, Coldwater, MI 49036-1908 | 2012-09-17 |
| 1528542115 | Jody Robin Lewis | Psychologist | 201 S University Ave, Mt Pleasant, MI 48858-2527 | 2018-09-19 |
| Street Address |
3001 LYNDHURST AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141767 | Thomas Riley Hinson Jr. | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2005-11-15 |
| 1861000150 | Myah Elisha Hicks | Physician Assistant | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4026 | 2020-07-22 |
| 1386261451 | Katey Robinson | Physician Assistant | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2020-07-06 |
| 1457991721 | Ashley Pappas Minton | Nurse Practitioner | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4026 | 2020-01-14 |
| 1528617537 | Tracy Anne Higgins | Physician Assistant | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4026 | 2019-09-11 |
| 1275180945 | Hannah Renae Merritt | Nurse Practitioner | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2019-08-19 |
| 1821656760 | Cameron Sattenfield | Nurse Practitioner | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2019-06-05 |
| 1124548599 | Tia M. Exline | Nurse Practitioner | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2017-06-26 |
| 1780033464 | Lauren Sykes Eyadiel | Physician Assistant | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2016-06-03 |
| 1003290263 | Seth Ryan Anderson | Physician Assistant | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141767 | Thomas Riley Hinson Jr. | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2005-11-15 |
| 1871108027 | Dan Alexandru Silaghi | Internal Medicine | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-09-14 |
| 1851938302 | Christopher Scott Newtown | Internal Medicine | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-12-03 |
| 1457994097 | Jessica Leigh Mack | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-10-27 |
| 1396265872 | Demetrio A Gant | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-06-26 |
| 1154765113 | Adam Haynsworth Wells | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2013-04-22 |
| 1962768580 | Kenneth Burns | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2012-04-09 |
| 1932427952 | Leslie Mcmanus Cristiano | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-05-14 |
| 1396978797 | Farhan Ahmed | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | 2009-09-01 |
| 1669601662 | Venkat Krishna Rajasurya | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2009-07-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.