DR. JEFFREY SCOTT LEWIS (NPI# 1689761025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689761025 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SCOTT LEWIS |
| Credential | M.D., D.M.D. |
| Practice Address |
200 East Buffalo Street Suite 304 Ithaca NY 14850 |
| Mailing Address |
200 East Buffalo Street #304 Ithaca NY 14850 |
| Practice Telephone | 6072777007 |
| Practice Fax Number | 6072775434 |
| Mailing Telephone | 6072777007 |
| Mailing Fax Number | 6072775434 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
544761 | NY | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 197617-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046736 | Jeffrey Lewis | Pharmacist | 705 Arkansas St Apt B, Lawrence, KS 66044-2350 | 2020-05-29 |
| 1518203322 | Jeffrey Wayne Lewis | Occupational Therapy Assistant | 4471 Buttonwood Ct Nw, Marietta, GA 30064-5600 | 2012-12-26 |
| 1972856375 | Jeffrey Lowell Lewis | Psychologist | 2800 Sw 320th Street, Decatur High School, Federal Way, WA 98003 | 2012-10-23 |
| 1801142351 | Jeffrey Lewis | Optometrist | 507 W Town Center Blvd, Champaign, IL 61822-1248 | 2012-08-01 |
| 1144453044 | Jeffrey D Lewis | Dentist | 5099 E Grant Rd Ste 330, Tucson, AZ 85712-2764 | 2009-08-26 |
| 1477706802 | Jeffrey Ian Lewis | Speech-Language Pathologist | 105 Vista Ter, Tryon, NC 28782-3440 | 2008-10-29 |
| 1598913949 | Jeffrey Allan Lewis | Pharmacist | 105 W Stone Dr Ste 3a, Kingsport, TN 37660-3256 | 2008-08-27 |
| 1144436510 | Jeffrey W Lewis | Specialist | 16400 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2007-05-15 |
| 1366593543 | Jeffrey Adam Lewis | Optometrist | 81 Moraga Way, Orinda, CA 94563-3023 | 2007-01-15 |
| 1912927674 | Jeffrey W. Lewis | Psychologist | 9506 Ashbury Pl, Frederick, MD 21701-7653 | 2006-07-19 |
| Street Address |
200 EAST BUFFALO STREET SUITE 304 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210528 | Empire Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 4 Palisades Dr Ste 250, Albany, NY 12205-1448 | 2019-11-26 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1548632896 | Oral Surgery of Nny Pllc | Oral & Maxillofacial Surgery | 163 Bellew Ave S, Watertown, NY 13601-2390 | 2015-10-27 |
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1982991485 | Steve Yusupov | Oral & Maxillofacial Surgery | 256-c Mason Ave, Staten Island, NY 10305 | 2011-07-05 |
| 1396044640 | Michael Harris Schiffman | Oral & Maxillofacial Surgery | 141 Franklin Pl Ste B, Woodmere, NY 11598-1244 | 2011-03-24 |
| 1962720680 | Oren Richman | Oral & Maxillofacial Surgery | Nassau University Medical Center, Dept of Oral Surgery, 2201 Hempstead Tpke, East Meadow, NY 11554 | 2010-05-05 |
| 1376866186 | Mohammad Okasha | Oral & Maxillofacial Surgery | L50 55th St, Brooklyn, NY 11220 | 2010-03-08 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1124279856 | Michael Proothi | Oral & Maxillofacial Surgery | 207 Hallock Rd Ste 2, Stony Brook, NY 11790-3072 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
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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.