Active NPI
Dr.Irving M. Lewis, Podiatrist, Inc.
- Foot Surgery Podiatrist
- Beachwood, OH
National Provider Identifier
1184840134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 36001287L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000230211 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot Surgery Podiatrist
- Mayfield HTS, OH
- NPI 1477636892
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.