JOHN D LEWIS (NPI# 1255386413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255386413 |
| Entity Type | Individual |
| Full Name | JOHN D LEWIS |
| Credential | MD |
| Practice Address |
4527 N 16th St Ste 104 Phoenix AZ 85016-5353 |
| Practice Telephone | 6028458000 |
| Practice Fax Number | 6028458001 |
| Mailing Telephone | 6028458000 |
| Mailing Fax Number | 6028458001 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 11783 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 11783 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 272877 | 05 | |
| AZ | 192229 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 W Rex Allen Dr, Willcox, AZ 856431009 | 5202994489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1306473574 | John Terrence Lewis II | Occupational Therapist | 2305 Red Maple Ct Se, Conyers, GA 30013-6719 | 2020-03-26 |
| 1619436771 | John Corbridge Lewis | Nurse Practitioner | 1789 Commerce Dr, Lakeside, AZ 85929-5354 | 2019-03-18 |
| 1619443033 | John O Lewis IIi | Non-emergency Medical Transport (VAN) | 6342 28th St Apt 16, Berwyn, IL 60402-2723 | 2018-10-23 |
| 1467854604 | John Nelson Lewis | Internal Medicine | 225 Settlers Point Rd, Fountain Run, KY 42133-8551 | 2014-09-18 |
| 1407263825 | John H Lewis | Pharmacist | 573 Forest Hill Dr, Lexington, KY 40509-1914 | 2014-07-17 |
| 1629489471 | John Lewis | Nutritionist | 744 E Swon Ave, Saint Louis, MO 63119-4228 | 2014-05-14 |
| 1386800118 | John Francis Lewis | Dentist | 8503 Pacific Ave, Wildwood Crest, NJ 08260-3529 | 2008-07-31 |
| 1396916656 | John Derek Lewis | Radiology | 2346 Linden Leaf Dr, Glenview, IL 60025-2766 | 2008-03-14 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| Street Address |
4527 N 16TH ST STE 104 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336708833 | Christine L Willis | Social Worker | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2019-06-07 |
| 1962067363 | Kehart Lynn Flom Racoma | Internal Medicine | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2019-05-01 |
| 1518444801 | Chelsea Aubree Cason | Nurse Practitioner | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2018-07-19 |
| 1831621119 | Sasha Lee | Nurse Practitioner | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2017-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.