Edward S Lewis, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

F3210 Issued in TX

Practice address

11623 Angus Rd
Ste 15
Austin, TX 78759-4041

Phone

(512) 346-7170

Fax

(512) 345-2699

NPI assigned

Nov 16, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Edward S Lewis, Mdpa

  • Specialist
  • Austin, TX
  • NPI 1275789067

  Sports Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1083696025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD STE 15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594041",
            "telephone_number": "512-346-7170",
            "fax_number": "512-345-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD",
            "address_2": "STE 15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594041",
            "telephone_number": "512-346-7170",
            "fax_number": "512-345-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EDWARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "F3210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kuan Lewis, FNP-C
• Daryl Lindsay Lewis
• Dejuan Lewis, M.ED, ATC, LAT
• Derrick Lewis, LPC
• Douglas E Lewis, MD
• Gary George Lewis, RN
• Harold D Lewis, D.O.
• Heather Kathleen Lewis
• Isabella Lewis
• Jamie Anne Lewis, PHD

• Sports Medicine (Orthopaedic Surgery) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.