DR. GARY S. LEWIS (NPI# 1194762765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194762765 |
| Entity Type | Individual |
| Full Name | DR. GARY S. LEWIS |
| Credential | MD |
| Practice Address |
136 N Main St Suite 201 Thiensville WI 53092-1606 |
| Practice Telephone | 2622423369 |
| Practice Fax Number | 2622423219 |
| Mailing Telephone | 2622423369 |
| Mailing Fax Number | 2622423219 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33004-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 330004-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31823100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522293 | Gary Lewis | Specialist/Technologist | 1822 8th Ave N, Escanaba, MI 49829-1502 | 2015-03-13 |
| 1831509330 | Gary D Lewis | Radiology | 4301 W Markham St # 771, Little Rock, AR 72205-7101 | 2014-05-06 |
| 1023380631 | Gary L Lewis | Counselor | 11625 Teton Rd, Oklahoma City, OK 73162-1538 | 2012-01-30 |
| 1871630160 | Gary R. Lewis | Psychologist | 8686 Capricorn Way, San Diego, CA 92126-1851 | 2007-01-30 |
| 1871603266 | Gary A. Lewis | Dentist | 1950 Clinton Ave S, Rochester, NY 14618-5620 | 2006-08-30 |
| 1063435188 | Gary Din Auman Lewis | Obstetrics & Gynecology | 1181 Galway Ct, Hummelstown, PA 17036-9164 | 2006-07-26 |
| 1871574202 | Gary William Lewis | Internal Medicine | 1842 Meridian Dr, Hagerstown, MD 21742-1232 | 2005-11-11 |
| 1740285774 | Gary Lewis | Social Worker | 801 5th St, Sioux City, IA 51101-1394 | 2005-06-16 |
| 1598253676 | Gary W Lewis | Non-emergency Medical Transport (VAN) | 211 West Ave, Mount Washington, KY 40047-7636 | 2018-04-25 |
| 1841706363 | Gary Lynn Lewis Jr. | Physical Therapy Assistant | 9215 White Rock Trl, Dallas, TX 75238-2593 | 2017-12-20 |
| Street Address |
136 N MAIN ST SUITE 201 |
| City | THIENSVILLE |
| State | WI |
| Zip Code | 53092-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577996 | Anna Bednarczyk | Physical Therapist | 136 N Main St, Thiensville, WI 53092-1606 | 2020-10-27 |
| 1215477096 | Rita W. Larsen | Dietitian, Registered | 136 N Main St, Thiensville, WI 53092-1606 | 2017-02-28 |
| 1346791753 | Pccw LLC | Pharmacy | 136 N Main St, Thiensville, WI 53092-1606 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861565202 | Larisa I Mazur | Family Medicine | 216 Elm St, Thiensville, WI 53092-1602 | 2006-11-15 |
| 1346848397 | Marla Mental Health Solutions LLC | Family Medicine | 214 Green Bay Rd, Thiensville, WI 53092-1616 | 2020-10-13 |
| 1881740975 | Thiensville Family Health Care Sc | Family Medicine | 140 S Main St, Thiensville, WI 53092-1956 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | THIENSVILLE |
| Zip Code | 53092 |
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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.