Organization Active NPI

Lewis Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Stewartstown, PA
National Provider Identifier
1154776995
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006418 Issued in PA
Legal business name
LEWIS PODIATRY
Practice address
200 Bailey Dr Ste 103
Stewartstown, PA 17363-8297
Phone
(717) 781-8313
Fax
(717) 781-8414
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Justin Lewis, DPM
Title
Owner
Phone
(954) 540-9337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC006418 PA Primary

Addresses

Primary practice location

200 Bailey Dr Ste 103
Stewartstown, PA 17363-8297

Mailing address

200 Bailey Dr Ste 103
Stewartstown, PA 17363-8297
Phone (717) 781-8313

National Provider Directory

National Provider Directory

Locations

200 Bailey Dr
Ste 103
Stewartstown, PA 17363
Phone (717) 781-8313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1154776995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BAILEY DR STE 103",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173638297",
            "telephone_number": "717-781-8313",
            "fax_number": "717-781-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAILEY DR STE 103",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173638297",
            "telephone_number": "717-781-8313",
            "fax_number": "717-781-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-540-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.