Organization Active NPI

Rodger P Lewis M D PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Union City, TN
National Provider Identifier
1235228578
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD000007577 Issued in TN
Legal business name
RODGER P LEWIS M D PC
Practice address
1201 Bishop St
Union City, TN 38261
Phone
(731) 885-9231
Fax
(731) 885-6318
NPI assigned
Oct 12, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Mrs. Frankie J Thomas
Title
Office Manager
Phone
(731) 885-9231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZC0500X MD000007577 TN
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X MD000007577 TN Primary

Addresses

Primary practice location

1201 Bishop St
Union City, TN 38261

Mailing address

PO Box 870
Union City, TN 38281
Phone (731) 885-9231

Other identifiers 4

IdentifierTypeStateIssuer
36949OtherTNTLC
104944OtherTNBLUE CROSS
2005923OtherTNBLUE CROSS
6122OtherTNTLC

National Provider Directory

National Provider Directory

Locations

1209 Bishop St
Union City, TN 38261
Phone (731) 885-9231

1209 Bishop St
Union City, TN 38261
Phone (731) 885-9231

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1235228578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38281",
            "telephone_number": "731-885-9231",
            "fax_number": "731-885-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BISHOP ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "731-885-9231",
            "fax_number": "731-885-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODGER P LEWIS M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-885-9231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "TN",
            "license": "MD000007577",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD000007577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "36949",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "104944",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2005923",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "6122",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.