DR. CREIGHTON LEWIS


Address: 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702
Phone: 2082206546

DR. CREIGHTON LEWIS (NPI# 1376920553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376920553
Entity Type Individual
Full Name DR. CREIGHTON LEWIS
Credential M.D.
Practice Address 500 West Fort St. #111r
Boise Vamc
Boise
ID 83702
Practice Telephone 2082206546
Mailing Telephone 2082206546
Enumeration Date 2015-04-27
Last Update Date 2020-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
11682730-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 500 WEST FORT ST. #111R
BOISE VAMC
City BOISE
State ID
Zip Code 83702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407219702 Jordan Jones Student in an Organized Health Care Education/Training Program 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 2016-04-04

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NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295926061 Michael Modica Radiology 877 W Main St, Suite 603, Boise, ID 83702-5883 2007-08-07
1346457298 John Charles Kirkham Radiology 115 W Main St Ste 202, Boise, ID 83702-7303 2007-05-17
1811046386 Frank J Daniels Radiology 5122 S Surprise Way Apt 202, Boise, ID 83716-9050 2007-01-10
1821039025 Michael J Ryan Radiology 232 S Whisperwood Way, Boise, ID 83709-4900 2006-06-09
1679513303 Intermountain Medical Imaging LLC Radiology 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 2006-06-08
1669423679 Intermountain Medical Imaging LLC Radiology 927 W Myrtle St, Boise, ID 83702-7061 2006-05-15
1174589543 Laura M Wike Radiology 2517 N Cisco Ln, Boise, ID 83702-5502 2006-04-25
1922077635 Ryan Slaughter Radiology 907 Harrison Blvd, Boise, ID 83702-4052 2006-03-15
1336554740 Geoffry De Gennaro Jr. Radiology 190 E Bannock St, Boise, ID 83712-6241 2014-06-24
1760825442 Jason Gary Hamblin Radiology 1055 N Curtis Rd, Boise, ID 83706-1309 2013-04-11
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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