DR. FREDRICK AUSTIN LEWIS (NPI# 1629299730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629299730 |
| Entity Type | Individual |
| Full Name | DR. FREDRICK AUSTIN LEWIS |
| Credential | MD |
| Practice Address |
22 Pin Oak Ln Hammond LA 70401-8201 |
| Practice Telephone | 9854298412 |
| Mailing Telephone | 9854298412 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
010125 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1110124 | 05 |
| Street Address |
22 PIN OAK LN |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1942498613 | Douglas Matthew Casey | Radiology | 15790 Paul Vega, Md Drive, Radiology Department, Hammond, LA 70403 | 2007-10-09 |
| 1922081025 | Robert D Reinhart | Radiology | 15790 Paul Vega Dr, Department of Radiology, Hammond, LA 70403-1434 | 2005-11-22 |
| 1679564264 | Roy Divittorio | Radiology | 15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 | 2005-11-02 |
| 1174865968 | Sean Michael Gipson | Radiology | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2013-03-20 |
| 1831326610 | Matthew Proctor | Radiology | 15790 Paul Vega Md Dr, Radiology Department, Hammond, LA 70403-1434 | 2009-06-18 |
| 1184833188 | Benjamin Wade Wilkerson | Radiology | 15837 Paul Vega Md Dr, Hammond, LA 70403-1495 | 2007-05-22 |
| 1306952957 | Jong Liu | Radiology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-08-23 |
| 1437175221 | Robert Edmond Smith | Radiology | 15790 Paul Vega Md Dr, Department of Radiology, Hammond, LA 70403-1434 | 2006-07-14 |
| 1568406619 | Edward Ray Hernandez Jr. | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2006-06-16 |
| Find all providers in HAMMOND | ||||
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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.