EVAN MILLER LEWIS (NPI# 1205148913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205148913 |
| Entity Type | Individual |
| Full Name | EVAN MILLER LEWIS |
| Credential | M.D. |
| Practice Address |
1717 N E St Ste 422 Pensacola FL 32501-6333 |
| Mailing Address |
Po Box 17567 Pensacola FL 32522-7567 |
| Practice Telephone | 8504690642 |
| Mailing Telephone | (850) 469-0642 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME132350 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021104000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S Greene St, Suite 12 D, Baltimore, MD 212011544 | 4103286034 | 4103280756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023458304 | Evan Michael Lewis | Podiatrist | 147 Reinhardt College Pkwy Ste 10, Canton, GA 30114-5295 | 2013-07-01 |
| 1184145419 | Evan A Lewis | Physical Therapist | 16310 Bothell Everett Hwy Ste C, Mill Creek, WA 98012-1284 | 2017-06-27 |
| 1760824056 | Evan Cole Lewis | Student in an Organized Health Care Education/Training Program | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-07-26 |
| Street Address |
1717 N E ST STE 422 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669600 | George Fredrik Gade | Neurological Surgery | 1717 N E St Ste 422, Pensacola, FL 32501-6333 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265507024 | Matthew B Kern | Neurological Surgery | 2120 E Johnson Ave Ste 106, Pensacola, FL 32514-6091 | 2006-11-21 |
| 1831125822 | Ann M Carr IIi | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504-5719 | 2006-06-23 |
| 1083669600 | George Fredrik Gade | Neurological Surgery | 1717 N E St Ste 422, Pensacola, FL 32501-6333 | 2006-05-23 |
| 1649254855 | Charles L Wolff IIi | Neurological Surgery | 8333 N Davis Hwy Fl 10, Pensacola, FL 32514 | 2005-12-01 |
| 1184140683 | Live Oak Neurosurgical Associates Pllc | Neurological Surgery | 8333 N Davis Hwy Fl 10, Pensacola, FL 32514 | 2017-08-16 |
| 1023434669 | Charles E Chapleau M D Neurosurgery Pllc | Neurological Surgery | 1717 N E St, Ste 422, Pensacola, FL 32501-6339 | 2014-03-06 |
| 1366700361 | Christopher F. Villar | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504 | 2012-04-26 |
| 1477841385 | Augustus Jose Perez | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504-5719 | 2011-07-12 |
| 1376779892 | Baptist Medical Group LLC | Neurological Surgery | 1717 N E St, Suite 227, Pensacola, FL 32501-6339 | 2009-06-10 |
| 1396829735 | Brett David Reichwage | Neurological Surgery | 1717 N E St, Suite 422, Pensacola, FL 32501-6339 | 2006-10-24 |
| Find all providers in PENSACOLA | ||||
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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.