SAM W LEW (NPI# 1154369981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154369981 |
| Entity Type | Individual |
| Full Name | SAM W LEW |
| Credential | MD |
| Practice Address |
1007 N Pope St Silver City NM 88061-5161 |
| Mailing Address |
530 De Moss St Lordsburg NM 88045-2618 |
| Practice Telephone | 5753881511 |
| Practice Fax Number | 5753138236 |
| Mailing Telephone | 5755428384 |
| Mailing Fax Number | 5755428387 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD2017-0771 | NM | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
13152 | ME | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
11137 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7010584 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 Whiting Hill Rd, Suite 31, Brewer, ME 044121021 | 2079737572 | 2079737674 |
| Street Address |
1007 N POPE ST |
| City | SILVER CITY |
| State | NM |
| Zip Code | 88061-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982525 | John M Stanley | Family Medicine | 1007 N Pope St, Hms Community Health Center, Silver City, NM 88061-5161 | 2005-06-17 |
| 1518578491 | Ragina Shaw | Case Manager/Care Coordinator | 1007 N Pope St, Silver City, NM 88061-5161 | 2020-08-13 |
| 1164044780 | Robert Paul Doherty | Case Manager/Care Coordinator | 1007 N Pope St, Silver City, NM 88061-5161 | 2020-05-18 |
| 1609417666 | Sanne Floor Van Swol | Physician Assistant | 1007 N Pope St, Silver City, NM 88061-5161 | 2019-10-01 |
| 1154889962 | Hannah Lochner | Dietitian, Registered | 1007 N Pope St, Silver City, NM 88061-5161 | 2019-03-11 |
| 1902391857 | Mason Heywood | Family Medicine | 1007 N Pope St, Silver City, NM 88061-5161 | 2018-06-23 |
| 1518455500 | Wais Ibrahim Khairandesh | Counselor | 1007 N Pope St, Silver City, NM 88061-5161 | 2018-04-25 |
| 1003324294 | Julianne Steenport | Counselor | 1007 N Pope St, Silver City, NM 88061-5161 | 2018-01-22 |
| 1316484801 | Aretha Amundson | Counselor | 1007 N Pope St, Silver City, NM 88061-5161 | 2017-01-23 |
| 1609327253 | Edith Lee | Social Worker | 1007 N Pope St, Silver City, NM 88061-5161 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
| 1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
| Find all providers in zip 88061 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750673661 | Jessica Marie Valdez | Pediatrics | 2211 Lomas Blvd Ne Ste 2222, Albuquerque, NM 87106 | 2011-05-11 |
| 1447461520 | Trisha Simone Tavares | Pediatrics | 201 Cedar St. Se, Suite 4660, Albuquerque, NM 87106 | 2007-05-24 |
| 1235146275 | Jami Dalene Frost | Pediatrics | 4101 Indian School Rd Ne, Albuquerque, NM 87110-3988 | 2006-08-02 |
| 1043226780 | Linda J Butros | Pediatrics | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2006-08-01 |
| 1760404255 | Prasad Mathew | Pediatrics | Ambulatory Care Ctr Fl 3, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-24 |
| 1104140086 | Amy Cruickshank | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2010-03-20 |
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1295822302 | John Kuttesch | Pediatrics | 2211 Lomas Blvd Ne Fl 3, Albuquerque, NM 87106-2719 | 2006-10-09 |
| 1164439121 | James Vance Mckinnell | Pediatrics | Department of Pediatrics Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1285641225 | Richard Heideman | Pediatrics | 2211 Lomas Blvd Ne, Ambulatory Care Center 3rd Floor, Albuquerque, NM 87106-2719 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SILVER CITY |
| Zip Code | 88061 |
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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.