David H Lewis, MD

Individual provider Active NPI General Practice Physician · Penhook, VA

NPI 1104094929 · NPPES record last updated Dec 12, 2014

Key facts

NPI
1104094929
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
0101018338 (VA)
Practice address
189 Hardy CT
Penhook, VA 24137-2001
Phone
(434) 927-5893
Fax
(276) 629-2695
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Henry County Coalition for Health and Wellness Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101018338 VA Yes

Addresses

Primary practice location

189 Hardy CT
Penhook, VA 24137-2001

Mailing address

189 Hardy CT
Penhook, VA 24137-2001
Phone (434) 927-5893

Other providers in Penhook, VA

All providers in Penhook, VA · General Practice Physician in Virginia

Sources for this page

Verify at the official NPI Registry.