Southwest Mississippi Emergency Physicians, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

04834 Issued in MS

Legal business name

SOUTHWEST MISSISSIPPI EMERGENCY PHYSICIANS, LTD

Doing business as

Henry Lewis, MD

Practice address

3549 Lower Centreville Rd
Liberty, MS 39645-8294

Phone

(601) 657-4562

Fax

(601) 657-4685

NPI assigned

Feb 4, 2008

Last updated

Apr 30, 2008By 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. Henry L Lewis, MD

Title

President

Phone

(601) 657-4562

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henry Lewis, MD Doing business as

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1104004910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 LOWER CENTREVILLE RD",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396458294",
            "telephone_number": "601-657-4562",
            "fax_number": "601-657-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 LOWER CENTREVILLE RD",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396458294",
            "telephone_number": "601-657-4562",
            "fax_number": "601-657-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSISSIPPI EMERGENCY PHYSICIANS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-657-4562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "04834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116617",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Lewis, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Liberty, MS
• Providers in Liberty, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.