DR. JOHN RANDOLPH LEWIS (NPI# 1124007976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124007976 |
| Entity Type | Individual |
| Full Name | DR. JOHN RANDOLPH LEWIS |
| Credential | M.D. |
| Practice Address |
1236 E Rusholme St Suite 300 Davenport IA 52803-2473 |
| Practice Telephone | 5633242992 |
| Practice Fax Number | 5638880499 |
| Mailing Telephone | 5633242992 |
| Mailing Fax Number | 5638880499 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20857 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0156398 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1306473574 | John Terrence Lewis II | Occupational Therapist | 2305 Red Maple Ct Se, Conyers, GA 30013-6719 | 2020-03-26 |
| 1619436771 | John Corbridge Lewis | Nurse Practitioner | 1789 Commerce Dr, Lakeside, AZ 85929-5354 | 2019-03-18 |
| 1619443033 | John O Lewis IIi | Non-emergency Medical Transport (VAN) | 6342 28th St Apt 16, Berwyn, IL 60402-2723 | 2018-10-23 |
| 1467854604 | John Nelson Lewis | Internal Medicine | 225 Settlers Point Rd, Fountain Run, KY 42133-8551 | 2014-09-18 |
| 1407263825 | John H Lewis | Pharmacist | 573 Forest Hill Dr, Lexington, KY 40509-1914 | 2014-07-17 |
| 1629489471 | John Lewis | Nutritionist | 744 E Swon Ave, Saint Louis, MO 63119-4228 | 2014-05-14 |
| 1386800118 | John Francis Lewis | Dentist | 8503 Pacific Ave, Wildwood Crest, NJ 08260-3529 | 2008-07-31 |
| 1396916656 | John Derek Lewis | Radiology | 2346 Linden Leaf Dr, Glenview, IL 60025-2766 | 2008-03-14 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| Street Address |
1236 E RUSHOLME ST SUITE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986837 | Prakash R Bontu | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1942606413 | Ellen Terese Holm | Nurse Practitioner | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2014-11-11 |
| 1619228392 | Meredith Lee Hodgson | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2012-09-21 |
| 1720382542 | Julie Ann Shereda | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2011-01-08 |
| 1760792683 | Cynthia D Burkholder | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2010-10-13 |
| 1497080709 | Srikanth Reddy Kasula | Internal Medicine | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2009-10-05 |
| 1184957839 | Shannon M Mentzer | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2009-09-14 |
| 1538353784 | Paula Jean Bryant | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2007-08-30 |
| 1689724700 | Denise Elaine Antle | Clinical Nurse Specialist | 1236 E Rusholme St, Davenport, IA 52803-2473 | 2007-01-11 |
| 1871687087 | Michael Joseph Gimbel IIi | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1215397203 | Arrhythmia and Cardiovascular Associates, LLC | Internal Medicine | 2320 North Blvd W Ste A, Davenport, FL 33837-8924 | 2016-03-03 |
| 1598042822 | Heart & Vascular Institute of Florida Plc | Internal Medicine | 42721 Highway 27, Suite 102, Davenport, FL 33837-6821 | 2011-11-15 |
| 1669486379 | Saiyed Aonali Mohib | Internal Medicine | 410 Lionel Way, Davenport, FL 33837-7809 | 2006-07-28 |
| 1982632907 | Cardiovascular Medicine PC | Internal Medicine | 1236 E. Rusholme Street, Suite 300, Davenport, IA 52803 | 2006-06-29 |
| 1912986837 | Prakash R Bontu | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1124331996 | Providence Health & Services | Internal Medicine | 100 3rd St, Davenport, WA 99122-5008 | 2010-07-21 |
| 1497080709 | Srikanth Reddy Kasula | Internal Medicine | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2009-10-05 |
| 1457515314 | Yuhning Hu | Internal Medicine | 1236 E Rusholme St Ste 300, Cardiovascular Medicine PC, Davenport, IA 52803-2473 | 2008-07-10 |
| 1871687087 | Michael Joseph Gimbel IIi | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2006-10-03 |
| 1871572677 | Nidal H Harb | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-11 |
| Find all providers in DAVENPORT | ||||
Please comment or provide details below to improve the information on DR. JOHN RANDOLPH LEWIS.
| 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.