Kathleen Claire Lewis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005446L Issued in PA

Practice address

1701 Four Mile Dr
Williamsport, PA 17701-1940

Phone

(570) 327-1000

Fax

(570) 323-6079

NPI assigned

Aug 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Omfs PC

  dba Susquehanna Oral & Facial Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsport, PA
  • NPI 1275905929
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013024157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FOUR MILE DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011940",
            "telephone_number": "570-327-1000",
            "fax_number": "570-323-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FOUR MILE DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011940",
            "telephone_number": "570-327-1000",
            "fax_number": "570-323-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHLEEN",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005446L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley L Lesher, CRNP
• Samantha Jo Less, PA-C
• Megan Marie Lessman
• Margaret K Levan, REGISTERED NURSE
• Brett Eric Lewis, M.D.
• Andrea Liebersohn, CRNP
• Yung-Tai Lin, M.D.
• Linn Mental Health and Wellness LLC
• Linn Orthodontics, LLC
• Collin Taylor Linn, D.M.D.

• Family Medicine Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.