Organization Active NPI

Dr.Irving M. Lewis, Podiatrist, Inc.

  • Foot Surgery Podiatrist
  • Beachwood, OH
National Provider Identifier
1184840134
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36001287L Issued in OH
Legal business name
DR.IRVING M. LEWIS, PODIATRIST, INC.
Practice address
3609 Park East Dr
#414 North
Beachwood, OH 44122-4331
Phone
(216) 765-1151
Fax
(216) 765-0389
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Irving M. Lewis, DPM
Title
President
Phone
(216) 765-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 36001287L OH Primary

Addresses

Primary practice location

3609 Park East Dr
#414 North
Beachwood, OH 44122-4331

Mailing address

3609 Park East Dr
#414 North
Beachwood, OH 44122-4331
Phone (216) 765-1151

Other identifiers 1

IdentifierTypeStateIssuer
000000230211OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

3609 Park East Dr
#414N
Beachwood, OH 44122
Phone (216) 765-1151

3609 Park East Dr
Ste 414
Beachwood, OH 44122
Phone (216) 382-7733

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1184840134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR",
            "address_2": "#414 NORTH",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-765-1151",
            "fax_number": "216-765-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR",
            "address_2": "#414 NORTH",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-765-1151",
            "fax_number": "216-765-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.IRVING M. LEWIS, PODIATRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-765-1151",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36001287L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000230211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.