ALEXANDER LEWIS III (NPI# 1477650372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477650372 |
| Entity Type | Individual |
| Full Name | ALEXANDER LEWIS III |
| Credential | MD |
| Practice Address |
1820 San Miguel Dr Walnut Creek CA 94596 |
| Practice Telephone | 9259378510 |
| Practice Fax Number | 9259378520 |
| Mailing Telephone | 9259378510 |
| Mailing Fax Number | 9259378520 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G21317 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G21317 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G21317 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G21317 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722012 | Alexander Lewis IIi | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-08-28 |
| 1710440144 | Alexander Ernest Lewis | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-04-11 |
| 1861999757 | Alexander Lewis | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2018-04-09 |
| 1467702720 | Alexander D Lewis | Pharmacist | 102 Emily Dr, Clarksburg, WV 26301-5501 | 2012-09-14 |
| Street Address |
1820 SAN MIGUEL DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225222128 | Christina Daria Fonseca | Dermatology | 320 Lennon Lane Kaiser Permanente Medical Group, Department of Dermatology, Walnut Creek, CA 94598 | 2007-09-04 |
| 1396789731 | Jay William Zimmerman | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2006-06-16 |
| 1124014741 | Min-wei Christine Lee | Dermatology | 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598-2546 | 2005-09-20 |
| 1023405727 | Grace Kim Sohn | Dermatology | 355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 | 2015-04-20 |
| 1245644657 | Joy Makdisi | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2014-06-13 |
| 1407285240 | Golden State Dermatology, Inc. | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2013-11-02 |
| 1437491743 | Jerral S Seibert M D Inc | Dermatology | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2013-03-25 |
| 1790927655 | Daniel J. Wall M.d., Inc | Dermatology | 110 La Casa Via, Suite 205, Walnut Creek, CA 94598-3088 | 2009-03-24 |
| 1861672800 | Marvin L Engel Md Inc | Dermatology | 130 La Casa Via, Bldg 2 Suite 110, Walnut Creek, CA 94598-3045 | 2007-11-07 |
| 1710191382 | Jeffrey Thomas Bortz | Dermatology | 355 Lennon Ln, Suite 355, Walnut Creek, CA 94598-2418 | 2007-05-10 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.