Active NPI
Cory Lamar Lewis
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 56935
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-6416
- NPI assigned
- Sep 20, 2017
- Last updated
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 56935 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
23252 El Paso Rd
Caldwell, ID 83607-7776
Phone (208) 850-8029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1859 S Topaz Way
Suite 106
Meridian, ID 83642-4401
Phone (208) 672-4640
8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Ambulatory Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants of Treasure Valley PLLC | Current | Accepting new patients | |
| Elaine Key MD PLLC | Current | Accepting new patients | |
| Idaho Spine & Pain PLLC | Current | Accepting new patients | |
| Boise Anesthesia, P a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consulting Partners Idaho, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
600 N Robbins Rd
Ste 401
Boise, ID 83702
Phone (208) 489-4279
8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720
875 S Vanguard Way
Ste 120
Meridian, ID 83642
Phone (208) 367-6416
875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 960-0650
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
-
- Anesthesiology Physician
- Boise, ID
- NPI 1245680099
-
- Anesthesiology Physician
- Caldwell, ID
- NPI 1568241362
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1487602298
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Meridian, ID
- NPI 1073546289
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Meridian, ID
- NPI 1306291836
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1093224289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23252 EL PASO RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836077776",
"telephone_number": "208-850-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CORY",
"middle_name": "LAMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "56935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.