SANDRA J LEWIS


Address: 4004 Maccorkle Ave Se, Suite 1a, Charleston, WV 25304-1672
Phone: 3049260172

SANDRA J LEWIS (NPI# 1841381035) 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) 1841381035
Entity Type Individual
Full Name SANDRA J LEWIS
Credential M.D.
Practice Address 4004 Maccorkle Ave Se
Suite 1a
Charleston
WV 25304-1672
Mailing Address 100 Woodscape Way
Scott Depot
WV 25560-9322
Practice Telephone 3049260172
Mailing Telephone 3047600447
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 18980 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0054964000 05

Other Providers SANDRA LEWIS

NPI Name Taxonomy Address Enumeration
1053804682 Sandra Kaye Lewis Taxi 124 Essex Rd, Colonial Heights, VA 23834-2407 2018-06-08
1730625096 Sandra Mae Lewis Skilled Nursing Facility 1403 S Park Dr, Reidsville, NC 27320-5519 2017-01-11
1609299577 Sandra Lewis Licensed Practical Nurse 231 S Brookside Ave, Freeport, NY 11520-4137 2014-01-29
1386912343 Sandra J Lewis Behavioral Analyst 3925 Martin Luther King Blvd, 208, North Las Vegas, NV 89032 2011-12-06
1023320207 Sandra Lynn Lewis Pharmacist 2879 N Germantown Pkwy, Bartlett, TN 38133-8150 2010-07-05
1265755391 Sandra Lewis Licensed Practical Nurse 13023 224th St, Laurelton, NY 11413-1245 2010-03-03
1407042849 Sandra Clark Lewis Audiologist 1199 Haley Center, Auburn University, AL 36849-5232 2007-09-19
1992720460 Sandra A Lewis Advanced Practice Midwife 1815 S. Clinton Avenue, Suite 610, Rochester, NY 14618-5723 2006-07-13
1720010630 Sandra L Lewis Physician Assistant 31870 E. Highway 51, Coweta, OK 74429 2006-07-07
1073586921 Sandra A Lewis Family Medicine Va Medical Center 1 Veterans Drive, Minneapolis, MN 55417 2006-02-10

Office Location

Street Address 4004 MACCORKLE AVE SE
SUITE 1A
City CHARLESTON
State WV
Zip Code 25304-1672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487849485 Sandra J Lewis M.d. P.l.l.c. Clinic/Center 4004 Maccorkle Ave Se, Charleston, WV 25304-1672 2007-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811595499 Laura Coolidge Family Medicine 1528 Seacroft Rd, Charleston, SC 29412-8113 2020-10-15
1356954259 Relymd Medical Group Wv, Pllc Family Medicine 1627 Quarrier St, Charleston, WV 25311-2124 2020-08-28
1922617950 Fred E Hill Family Medicine 1033 Jervey Point Rd, Charleston, SC 29492-8372 2020-07-27
1093375222 Valley Health Systems, Inc. Family Medicine 333 Laidley St Fl 6, Charleston, WV 25301-1614 2019-06-19
1427512201 Catherine Courtney Slemp Family Medicine 350 Capitol St Rm 702, Charleston, WV 25301-1757 2019-01-25
1730677709 Courtney Uhlar Family Medicine 169 Ashley Ave # Msc333, Charleston, SC 29425-9125 2018-04-25
1134617335 Kelsey Rose Wilson Family Medicine 169 Ashley Ave. Room 202, Main Hospital Msc 333, Charleston, SC 29425-9125 2018-04-24
1659869816 Anthony James Baglio Family Medicine 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2018-04-24
1396252219 Lisa Ann Oshaughnessy Turnure Family Medicine 3 Sawgrass Rd Apt I6, Charleston, SC 29412-2579 2017-12-30
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25304

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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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