Organization Active NPI

Peter a Lewis Internal Medicine Plus, PL

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1164693446
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82915 Issued in FL
Legal business name
PETER A LEWIS INTERNAL MEDICINE PLUS, PL
Doing business as
Internal Medicine Plus
Practice address
5172 Mason Corbin CT
Suite 3
Fort Myers, FL 33907-4540
Phone
(237) 274-0200
Fax
(239) 275-0229
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Peter Adolphus Lewis, MDNPI 1366451221
Title
President
Phone
(239) 274-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME82915 FL Primary

Addresses

Primary practice location

5172 Mason Corbin CT
Suite 3
Fort Myers, FL 33907-4540

Mailing address

5172 Mason Corbin CT
Suite 3
Fort Myers, FL 33907-4540
Phone (237) 274-0200

Other identifiers 1

IdentifierTypeStateIssuer
13562OtherFLBLUE CROSS BLUE SHIELD OF

Other names 1

  • Internal Medicine Plus Doing business as

National Provider Directory

National Provider Directory

Locations

5172 Mason Corbin Ct
#B
Fort Myers, FL 33907
Phone (239) 274-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1164693446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 MASON CORBIN CT",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074540",
            "telephone_number": "237-274-0200",
            "fax_number": "239-275-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 MASON CORBIN CT",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074540",
            "telephone_number": "237-274-0200",
            "fax_number": "239-275-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A LEWIS INTERNAL MEDICINE PLUS, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ADOLPHUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-274-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "13562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.