Individual provider Active NPI

James Edward Lewis, MD

  • Emergency Medicine Physician
  • Washington, IN
National Provider Identifier
1174523492
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01035630 Issued in IN
Practice address
1303 Grand Ave
Washington, IN 47501-2121
Phone
(812) 254-6843
Fax
(812) 254-6843
NPI assigned
Jul 28, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01035630 IN Primary
Pediatrics Physician 208000000X 01035630 IN

Addresses

Primary practice location

1303 Grand Ave
Washington, IN 47501-2121

Mailing address

PO Box 792
Washington, IN 47501-0792
Phone (812) 254-6843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050115000002 IN Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9739138843 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01035630INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Nov 1, 2007 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Jan 21, 2020 Accepting new patients
Scottsburg Emergency Services, LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians-Midwest Emergency Medicine Past Accepting new patients
Hoosier Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1174523492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010792",
            "telephone_number": "812-254-6843",
            "fax_number": "812-254-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GRAND AVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012121",
            "telephone_number": "812-254-6843",
            "fax_number": "812-254-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01035630",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01035630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.