Richard B. Lewan Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Waimea, HI
NPI 1083687693 · NPPES record last updated Jul 15, 2016
Key facts
- NPI
- 1083687693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24568 (WI)
- Practice address
- 9611 Waena Road
Waimea, HI 96796 - Phone
- (808) 338-1681
- Fax
- (808) 245-9367
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24568 | WI | MD | Family Medicine Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai Veterans Memorial Hospital | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Family Medicine | Past | Accepting new patients |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24568 | WI | Yes |
Addresses
Primary practice location
9611 Waena Road
Waimea, HI 96796
Mailing address
PO Box 598
Kalaheo, HI 96741-0598
Phone (808) 346-2602
Other providers in Waimea, HI
- Kauai Veterans Memorial Hospital
- Kauai Veterans Memorial Hospital
- Kauai Veterans Memorial Hospital
- Vanessa Kelley
- Juliana Koffman
- Liberty Dialysis - Hawaii LLC
- Cherie Linoz
- Lianne Malapit
- Mariano Torres M.D., Inc.
- Alexa McMonagle
All providers in Waimea, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.