DR. BERTRAM A LEWIS JR. (NPI# 1124096060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096060 |
| Entity Type | Individual |
| Full Name | DR. BERTRAM A LEWIS JR. |
| Credential | M.D., PH.D. MBA FACS |
| Practice Address |
6748 Gall Blvd Zephyrhills FL 33542-2544 |
| Practice Telephone | 8137791209 |
| Practice Fax Number | 8137791216 |
| Mailing Telephone | 8137791209 |
| Mailing Fax Number | 8137791216 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME103274 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 35491 | AZ | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 9901570 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 529993 | 01 |
| FL | AVMED | 330605 | 01 |
| FL | AETNA | 7661457 | 01 |
| FL | BCBS | 1463H | 01 |
| FL | CIGNA | 6005682 | 01 |
| AZ | 135924 | 05 | |
| AZ | HEALTH NET OF ARIZONA | 2Z8105 | 01 |
| FL | 001360600 | 05 | |
| AZ | HEALTH CHOICE ARIZONA | 135924 | 01 |
| AZ | ARIZONA PHYSICIANS IPA | 135924002 | 01 |
| AZ | CIGNA | 6005682 | 01 |
| AZ | AETNA | 7661457 | 01 |
| AZ | BCBS | AZ0921980 | 01 |
| FL | MEDICARE RAILROAD | P00793962 | 01 |
| Street Address |
6748 GALL BLVD |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33542-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963761 | Julia Ann Jones | Physician Assistant | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 | 2018-12-17 |
| 1003300138 | Gillian Leeder | Nurse Practitioner | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 | 2018-06-21 |
| 1104352665 | Ernestine P Fomunung-ngam | Nurse Practitioner | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 | 2017-05-03 |
| 1053701102 | Chinwe Obinwa | Nurse Practitioner | 6748 Gall Blvd, Zephyrhills, FL 33542-2544 | 2015-01-28 |
| 1386726453 | Ralph A Highshaw | Urology | 6748 Gall Blvd, Zephyrhills, FL 33542-2544 | 2006-10-19 |
| 1689767303 | Pediatric Partners of Zephyrhills, P.a. | Pediatrics | 6748 Gall Blvd, Suite 150, Zephyrhills, FL 33542 | 2006-10-02 |
| 1174582464 | James Emilio Lefler | Radiology | 6748 Gall Blvd, Zephyrhills, FL 33542-2544 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260469 | Caring Cherubs LLC | Homemaker | 38336 5th Ave, Zephryhills, FL 33542 | 2020-09-16 |
| 1457906356 | Appolonie Nahishakiye | Social Worker | 38439 18th Avenue, Zephyrhills, FL 33542 | 2019-08-07 |
| 1326537846 | Justin Lane Roark | Registered Nurse | 4141 Transue Drive, Zephyrhills, FL 33542 | 2018-05-10 |
| 1497256879 | Michelle Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 39009 County Road 54, Zephyrhills, FL 33542 | 2018-02-22 |
| 1699275891 | Layne Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 39047 County Road 54, Zephyrhills, FL 33542 | 2018-02-15 |
| 1821348525 | Florida Pharmacy Solutions, Inc | Pharmacy | 38444 5th Avenue, Zephyrhills, FL 33542 | 2012-09-11 |
| 1053667469 | Derrick S Tipton | Physical Therapy Assistant | 5939 Gall Blvd., Zephyrhills, FL 33542 | 2012-08-03 |
| 1891078127 | Stacy Marie Hill | Pharmacist | 6494 Gall Blvd, Zephyrhills, FL 33542 | 2011-09-22 |
| 1568766111 | Jamie H. Barron, Psy.d. P.a. | Psychologist | 37800 S.r. 54 West, Zephyrhills, FL 33542 | 2010-12-22 |
| 1245377985 | Family Home Health Services LLC | Home Health | 38196 Medical Center, Zephyrhills, FL 33542 | 2007-01-31 |
| Find all providers in zip 33542 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215215850 | Pavitar S.cheema, M.d. Pa | Urology | 38023 Medical Center Avenue, Zephyrhills, FL 33540-1384 | 2011-08-01 |
| 1710996855 | Pavitar Singh Cheema | Urology | 38023 Medical Center Ave, Zephyrhills, FL 33540 | 2006-08-07 |
| 1386726453 | Ralph A Highshaw | Urology | 6748 Gall Blvd, Zephyrhills, FL 33542-2544 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33542 |
Please comment or provide details below to improve the information on DR. BERTRAM A LEWIS JR..
| 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.