MICHAEL LEWIS (NPI# 1487189510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487189510 |
| Entity Type | Individual |
| Full Name | MICHAEL LEWIS |
| Credential | DO |
| Practice Address |
5908 E Stop 11 Rd Indianapolis IN 46237-8683 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3174976800 |
| Practice Fax Number | 3174976801 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02005571A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11019586A | IN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10122 E 10th St, Suite 100, Indianapolis, IN 462292663 | 3173555717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670112 | Michael Lewis | Driver | 4024 32nd St Apt 11, San Diego, CA 92104-2051 | 2019-07-10 |
| 1184196099 | Michael Lewis | Orthopaedic Surgery | 1150 Coast Village Rd Apt 207, Santa Barbara, CA 93108-2704 | 2018-12-18 |
| 1760994529 | Michael Lewis | Contractor | 501 Maple Ct, Dagsboro, DE 19939-9750 | 2017-11-01 |
| 1497110076 | Michael Lewis | Counselor | 8801 Lake Forest Blvd Bldg 9b9102, New Orleans, LA 70127-2448 | 2015-12-23 |
| 1386029833 | Michael J Lewis | Dentist | Bureau of Medicine and Surgery Credentials, 554 Keily St., Jacksonville, FL 32214-5000 | 2015-07-27 |
| 1255743308 | Michael Kent Lewis | Nurse Practitioner | 7307 Cherry St, Port Sanilac, MI 48469-9621 | 2014-05-23 |
| 1831472117 | Michael Lewis | Pharmacist | 855 Lakewood Rd Ste 100, Waterbury, CT 06704-5408 | 2011-09-23 |
| 1457673022 | Michael Cameron Lewis | Military Health Care Provider | 7528 Foxwerth Dr, Wilmington, NC 28411-7352 | 2010-02-23 |
| 1366773400 | Michael Jeff Lewis | Nurse Anesthetist, Certified Registered | 905 Crescent Rd, Shreveport, LA 71107-3908 | 2010-01-28 |
| 1114183381 | Michael Bram Lewis | Physical Therapist | 4544 Columbus St, Suite 1401, Virginia Beach, VA 23462-6749 | 2008-08-06 |
| Street Address |
5908 E STOP 11 RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285665505 | Patrick M Mcgill | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2006-07-05 |
| 1154856151 | Kexia Van | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2017-04-27 |
| 1497201677 | Rachel Sanderson | Physician Assistant | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2016-08-29 |
| 1881048130 | Jaymin Patel | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2016-04-22 |
| 1124482948 | Itoro Okpokho | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2016-04-07 |
| 1649633702 | Marisa Smith | Social Worker | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2016-04-05 |
| 1841668894 | Jacqueline Wentz | Physician Assistant | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-09-08 |
| 1689053290 | Erin Ray | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-05-28 |
| 1124377155 | Maryellen Buck | Nurse Practitioner | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2012-09-06 |
| 1568567758 | Linda A Huck | Internal Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| 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 |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.