DOMINIC J LEWIS (NPI# 1821017633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821017633 |
| Entity Type | Individual |
| Full Name | DOMINIC J LEWIS |
| Credential | M.D. |
| Practice Address |
21000 Ne 28th Ave Ste 104 Aventura FL 33180-1421 |
| Practice Telephone | 3059371999 |
| Mailing Telephone | 3059371999 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
ME98975 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
21000 NE 28TH AVE STE 104 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987983 | Christian David Gonzalez | Anesthesiology | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2006-01-18 |
| 1942809959 | Stephanie Amortegui | Physician Assistant | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2020-10-21 |
| 1508406224 | Kareen Gail Phillipa Jones | Nurse Practitioner | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2020-01-10 |
| 1780222398 | Golden Physical Therapy Inc | Physical Therapist | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2019-12-13 |
| 1366916975 | Usa Sports Therapy Florida Inc | Physical Therapist | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2019-01-16 |
| 1164820692 | Florida Chiropractic & Sports, Inc | Chiropractor | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180 | 2014-12-16 |
| 1972945061 | Jeffrey Cara | Pain Medicine | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2013-07-18 |
| 1568809325 | Christian Gonzalez, Md, LLC | Internal Medicine | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2013-06-03 |
| 1972875227 | Raina Simone Hachet | Physician Assistant | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2012-02-02 |
| 1730479387 | Eduardo Jose Jusino | Anesthesiology | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2011-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
| 1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
| 1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
| 1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
| 1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
| 1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
| 1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
| 1104366939 | Nchmd Inc | Orthopaedic Surgery | 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 | 2017-02-27 |
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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.