Organization Active NPI

Lewis Family Medicine, PLC

  • Family Medicine Physician
  • Annandale, VA
National Provider Identifier
1063730026
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101238901 Issued in VA
Legal business name
LEWIS FAMILY MEDICINE, PLC
Practice address
4307 Kenwyn CT
Annandale, VA 22003-3658
Phone
(703) 598-0262
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Edward Lewis, MD
Title
President
Phone
(703) 598-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101238901 VA Primary

Addresses

Primary practice location

4307 Kenwyn CT
Annandale, VA 22003-3658

Mailing address

4307 Kenwyn CT
Annandale, VA 22003-3658
Phone (703) 598-0262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1063730026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 KENWYN CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033658",
            "telephone_number": "703-598-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 KENWYN CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033658",
            "telephone_number": "703-598-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS FAMILY MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-598-0262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.