Active NPI
Harold D Lewis DO PA
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1003005232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6126
- Legal business name
- HAROLD D LEWIS DO PA
- Practice address
- 1901 West William Cannon Drive
Suite 123
Austin, TX 78745 - Phone
- (512) 444-2661
- Fax
- (512) 444-2720
- NPI assigned
- Oct 24, 2007
- Organization subpart
- Yes
- Parent organization
- HAROLD D LEWIS DO PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold Davis Lewis, DO
- Title
- Sole Practitioner Owner
- Phone
- (512) 444-2661
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6126 | TX | Primary |
| Clinic/Center | 261Q00000X | E6126 | TX |
Addresses
Primary practice location
1901 West William Cannon Drive
Suite 123
Austin, TX 78745
Mailing address
1901 West William Cannon Drive
Suite 123
Austin, TX 78745
Phone (512) 444-2661
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10016231 | Other | TX | AMERIGROUP NUMBER |
| 032268701 | Medicaid | TX | |
| 00BL17 | Other | TX | BCBS PIN |
National Provider Directory
National Provider Directory- Part of
- Harold D Lewis DO PA
Locations
1901 W William Cannon Dr
#12
Austin, TX 78745
Phone (512) 444-2661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1003005232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 WEST WILLIAM CANNON DRIVE",
"address_2": "SUITE 123",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-444-2661",
"fax_number": "512-444-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WEST WILLIAM CANNON DRIVE",
"address_2": "SUITE 123",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-444-2661",
"fax_number": "512-444-2720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAROLD D LEWIS DO PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HAROLD D LEWIS DO PA",
"enumeration_date": "2007-10-24",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "SOLE PRACTITIONER OWNER",
"authorized_official_telephone_number": "512-444-2661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "E6126",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "E6126",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP NUMBER",
"identifier": "10016231",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032268701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "00BL17",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.