Mark a Lewis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

44331 Issued in MA

Legal business name

MARK A LEWIS, MD

Practice address

1 Widger Rd
308
Marblehead, MA 01945-2146

Phone

(781) 639-0516

Fax

(781) 639-4191

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Lewis, M.D.NPI 1538262670

Title

Physician/Owner

Phone

(781) 639-0516

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Alan Lewis, MD

  • Dermatology Physician
  • Danvers, MA
  • NPI 1538262670
  NPD (past) Authorized official

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1073905386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "address_2": "308",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452146",
            "telephone_number": "781-639-0516",
            "fax_number": "781-639-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "address_2": "308",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452146",
            "telephone_number": "781-639-0516",
            "fax_number": "781-639-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A LEWIS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "781-639-0516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "44331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marblehead Healthcare Solutions LLC (Devereux Skilled Nursing & Rehabilitation Center)
• Marblehead Ophthalmology 2 LLC
• Marblehead Ophthalmology PC
• Marblehead Pediatric Dentistry and Braces PC
• Marblehead Pediatrics
• Betsy A Mark, LIC. AC.
• Marla P. Meyer, Licsw LLC
• Lisa Marques, PHARMD
• Julie Martinez, MD
• Mandy Maryanski

• Dermatology Physician in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.