Active NPI
Robert Lynn Lewis, M.D.
- Emergency Medicine Physician
- Port Angeles, WA
National Provider Identifier
1083949325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD06358
- Practice address
- 224 Scenic View LN
Port Angeles, WA 98362-0334 - Phone
- (360) 417-5625
- NPI assigned
- Oct 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD06358 | OR | Primary |
Addresses
Primary practice location
224 Scenic View LN
Port Angeles, WA 98362-0334
Mailing address
214 Mount Pleasant Heights LN
Port Angeles, WA 98362-8341
Phone (360) 417-5625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD06358 | OR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1083949325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MOUNT PLEASANT HEIGHTS LN",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983628341",
"telephone_number": "360-417-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 SCENIC VIEW LN",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620334",
"telephone_number": "360-417-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ROBERT",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD06358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.