Phillip E Lewellen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

551 Issued in TN

Practice address

1995 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1147

Phone

(954) 791-6146

Fax

(954) 337-2733

NPI assigned

Nov 4, 2005

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nashville Neurosurgery Group, PLC

  • Neurological Surgery Physician
  • Nashville, TN
  • NPI 1720204449
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1134110356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MURPHY AVE",
            "address_2": "SUITE 408",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032023",
            "telephone_number": "615-327-1515",
            "fax_number": "615-352-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061147",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Murphy Ave",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032023",
            "country_code": "US",
            "telephone_number": "615-327-1515",
            "fax_number": "615-352-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWELLEN",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "551",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4071394",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3666998",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Levitt
• Alyssa Levy, LMHC
• Guy Levy, DC
• Orly Levy, RD, LDN
• Yaniv Levy, PHARMD
• Melonie G Lewin, PHARMD
• Lola J Lewis-Walker
• Brittany Michelle Lewis
• Daniel J Lewis, DC
• Katherine Lewis, LMFT

• Surgical Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.