Individual provider Active NPI

Lewis D Neace, D.O.

  • Emergency Medicine Physician
  • Dayton, WA
National Provider Identifier
1184657876
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP00000734 Issued in WA
Practice address
1012 South Third Street
Dayton, WA 99328
Phone
(509) 382-2531
Fax
(509) 382-3205
NPI assigned
Jul 8, 2006
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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 OP00000734 WA Primary
Aerospace Medicine Physician 2083A0100X OP00000734 WA

Addresses

Primary practice location

1012 South Third Street
Dayton, WA 99328

Mailing address

1012 South Third Street
Dayton, WA 99328
Phone (509) 382-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151218000227 WA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6103806328 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00000734WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Nov 1, 2015 Accepting new patients
Columbia County Hospital District CurrentSince Nov 1, 2015 Accepting new patients
Oregon Anesthesiology Group PC Past Accepting new patients

Locations

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1184657876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-382-2531",
            "fax_number": "509-382-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-382-2531",
            "fax_number": "509-382-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEACE",
        "first_name": "LEWIS",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00000734",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "WA",
            "license": "OP00000734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, WA

Sources for this page

Verify at the official NPI Registry.