A RAY LEWIS DO PA


Address: 4732 E. Lancaster St, Fort Worth, TX 76103-3836
Phone: 8175341010

A RAY LEWIS DO PA (NPI# 1578534541) 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) 1578534541
Entity Type Organization
Organization Name A RAY LEWIS DO PA
Other Organization Name EAST FORT WORTH MEDICAL CLINIC
Practice Address 4732 E. Lancaster St
Fort Worth
TX 76103-3836
Mailing Address 4732 E Lancaster St
Fort Worth
TX 76103-3836
Practice Telephone 8175341010
Practice Fax Number 8174130300
Mailing Telephone 8175341010
Mailing Fax Number 8174130300
Enumeration Date 2006-01-30
Last Update Date 2008-01-31
Authorized Official Name DR. ADOLPHUS RAY LEWIS (OWNER/PHYSICIAN)
Authorized Official Telephone 8175341010
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD 0064QF 01
TX PALMETTO GBA 080012814 01

Other Provider/Organization Names

Other Name Type Code
East Fort Worth Medical Clinic Doing Business As Name - Organization

Office Location

Street Address 4732 E. LANCASTER ST
City FORT WORTH
State TX
Zip Code 76103-3836

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

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NPI Name Taxonomy Address Enumeration
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1689790636 James Michael Russell Family Medicine 6300 Troon Rd, Fort Worth, TX 76132-4426 2007-03-21
1558331066 Meta Medical Services Pa Family Medicine 4732 E Lancaster Ave Ste B, Fort Worth, TX 76103-3836 2006-01-25
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1306232509 Saamia Ahmed Family Medicine 855 Montgomery St, Fort Worth, TX 76107 2015-04-14
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1023209525 Kim Elizabeth Higgins Family Medicine 1305 W Magnolia Ave, Suite B, Fort Worth, TX 76104-4351 2007-08-08
1417152000 Jennifer Thompson Arnouville Family Medicine 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 2007-06-15
1609097294 Janet Lieto Family Medicine 855 Montgomery St, Fort Worth, TX 76107-2553 2007-05-01

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Competitor

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City FORT WORTH
Zip Code 76103

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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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