DR. ELENA JEAN LEWIS (NPI# 1194928994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194928994 |
Entity Type | Individual |
Full Name | DR. ELENA JEAN LEWIS |
Credential | MD |
Practice Address |
1324 W Milham Ave Suite 1 Portage MI 49024-2239 |
Mailing Address |
1324 W Milham Ave Ste 1 Portage MI 49024-2239 |
Practice Telephone | 2693420196 |
Practice Fax Number | 2693420532 |
Mailing Telephone | 2693417806 |
Mailing Fax Number | 2693418743 |
Enumeration Date | 2007-06-08 |
Last Update Date | 2016-12-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
EL085524 | MI | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 4301085524 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 700C910950 | 01 |
MI | 1194928994 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255450425 | Elena Calleja Lewis | Nurse Practitioner | 1801 Westwind Dr, Bakersfield, CA 93301-3028 | 2007-03-28 |
Street Address |
1324 W MILHAM AVE SUITE 1 |
City | PORTAGE |
State | MI |
Zip Code | 49024-2239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003479445 | Brittany Rose Doxey | Physician Assistant | 1324 W Milham Ave, Portage, MI 49024-2239 | 2019-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
Find all providers in zip 49024 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902120553 | Virginia Mary Caradonna-graham | Allergy & Immunology | 1744 Heron Ridge Dr, Bloomfield Hills, MI 48302-0723 | 2010-03-24 |
1538399613 | Dariush J Orandi | Allergy & Immunology | 2221 Health Dr Sw Ste 1400, Wyoming, MI 49519-9681 | 2009-07-22 |
1609005214 | Wendy M Gould | Allergy & Immunology | 1 Ford Pl # 4b, Allergy & Immunology, Detroit, MI 48202-3450 | 2009-07-06 |
1609068303 | S William Paris Md PC | Allergy & Immunology | 16801 Newburgh Rd Ste 106, Livonia, MI 48154-1606 | 2007-08-16 |
1518091321 | Grand Traverse Allergy PC | Allergy & Immunology | 3899 W Front St Ste 1, Traverse City, MI 49684 | 2007-03-15 |
1699818617 | Truecare Asthma and Allergy Center | Allergy & Immunology | 21700 Northwestern Highway, Suite 835, Southfield, MI 48075-4902 | 2007-02-15 |
1356435978 | Valley Allergy Clinic, P.C. | Allergy & Immunology | 3210 Hallmark Court, Saginaw, MI 48603-2108 | 2006-10-03 |
1093720740 | Asthma, Allergy and Sinus Center, PC | Allergy & Immunology | 115 N Delaware St, Sandusky, MI 48471-1008 | 2006-07-30 |
1205851326 | Kanti Hiralal Shah | Allergy & Immunology | 814 N Macomb St, Monroe, MI 48162-2930 | 2006-07-12 |
1457382939 | Mutee Husein Abdeljaber | Allergy & Immunology | 634 N State St, Caro, MI 48723-1544 | 2006-07-05 |
Find all providers with the same taxonomy |
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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.