DR. JOHNATHAN W LEWIS (NPI# 1699741298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699741298 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHAN W LEWIS |
| Credential | MD |
| Practice Address |
430 Magnolia Rd Camden AR 71701-4146 |
| Practice Telephone | 8708364709 |
| Practice Fax Number | 8708365837 |
| Mailing Telephone | 8708364709 |
| Mailing Fax Number | 8708365837 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E3971 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154567001 | 05 | |
| AR | QUALCHOICE | 05030029800 | 01 |
| AR | BREASTCARE | 771003001 | 01 |
| RAILROAD MEDICARE | P00229512 | 01 | |
| AETNA | 7165646 | 01 | |
| UNITED HEALTH CARE | 0000252732102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427388 | Johnathan Lewis | Home Health Aide | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-04-27 |
| 1417517236 | Johnathan Patrick Lewis | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2019-06-14 |
| Street Address |
430 MAGNOLIA RD |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047187 | Johnathan Lewis Md Pllc | Nurse Practitioner | 430 Magnolia Rd, Camden, AR 71701-4146 | 2020-09-09 |
| 1770192791 | Brandy Vanell Martisek | Nurse Practitioner | 430 Magnolia Rd, Camden, AR 71701-4146 | 2020-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| 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 |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1942658349 | Christina Ferrari | Family Medicine | 800 Cooper St # 4, Camden, NJ 08102-1155 | 2016-05-26 |
| 1528396710 | Benjamin Sommer | Family Medicine | 5 Masonic Ave, Camden, NY 13316-1234 | 2009-11-26 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1043436371 | Susan Gail Fesnak | Family Medicine | 2 Riverside Drive, 1 Port Center, Suite 401, Camden, NJ 08103-1018 | 2007-04-17 |
| 1093834574 | Rollin Wycoff Md | Family Medicine | 2285 Maul Rd, Camden, AR 71701-2511 | 2007-03-28 |
| 1861529430 | Patricia A. Prior | Family Medicine | 326 Penn St, Camden, NJ 08102-1410 | 2007-02-28 |
| 1144365115 | Albemarle Family Practice Pllc | Family Medicine | 160c Hwy 158, Camden, NC 27921-6908 | 2007-02-20 |
| 1811040603 | Center City Medical Associates Pa | Family Medicine | 506 Broadway, Camden, NJ 08103 | 2007-01-18 |
| 1689730343 | Henry Lawrence Morganstein | Family Medicine | 1809 Broadway, Camden, NJ 08104-1333 | 2006-12-28 |
| Find all providers in CAMDEN | ||||
Please comment or provide details below to improve the information on DR. JOHNATHAN W LEWIS.
| 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.