Active NPI
Rebecca C Lewis, D.O.
- Family Medicine Physician
- Tahlequah, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N8070
- Practice address
- 17611 South Muskogee Ave
Tahlequah, OK 74464-0000 - Phone
- (918) 207-4911
- Fax
- (918) 458-6221
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N8070 | AR | Primary |
Addresses
Primary practice location
17611 South Muskogee Ave
Tahlequah, OK 74464-0000
Mailing address
PO Box 1426
Siloam Springs, AR 72761-1426
Phone (479) 524-8552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N8070 | Other | AR | ARKANSAS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8070 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Workwell Industrial Medicine Clinic | Past | Accepting new patients | |
| Siloam Springs Clinic Company LLC | Family Medicine | Past | Accepting new patients |
Locations
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500
301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400
471688 Highway 51
Stilwell, OK 74960
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
Organizations & group practices 10
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.
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
- Internal Medicine Physician
- Siloam Springs, AR
- NPI 1013155431
Family Medicine
-
- Occupational Medicine Physician
- Siloam Springs, AR
- NPI 1285755181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1174582407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1426",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727611426",
"telephone_number": "479-524-8552",
"fax_number": "479-524-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17611 SOUTH MUSKOGEE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744640000",
"telephone_number": "918-207-4911",
"fax_number": "918-458-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "REBECCA",
"middle_name": "C",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2021-03-09",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "N8070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS LICENSE",
"identifier": "N8070",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.