Johnnie Lewis D.P.M P.C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004605 Issued in IL

Legal business name

JOHNNIE LEWIS D.P.M P.C

Practice address

2850 S Wabash Ave
Ste 206
Chicago, IL 60616-2955

Phone

(312) 674-1191

Fax

(312) 674-1192

NPI assigned

Nov 24, 2008

Organization subpart

Yes

Parent organization

JOHNNIE LEWIS D.P.M. P.CAs reported in NPPES

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

Authorized official

Name

Dr. Johnnie Lewis, DPMNPI 1013998194

Title

President

Phone

(312) 674-1191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Johnnie Lewis DPM PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnnie Lewis, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1013998194
  Medicare reassignment NPD Authorized official
• Davina Monique Betts, PA-C

  • Physician Assistant
  • Bourbonnais, IL
  • NPI 1558494724
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1235384801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-674-1191",
            "fax_number": "312-674-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-674-1191",
            "fax_number": "312-674-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNIE LEWIS D.P.M P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNNIE LEWIS D.P.M. P.C",
        "enumeration_date": "2008-11-24",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-674-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnest Transportation and Concierge Services
• Johnest Transportation and Concierge Services
• Johnest Transportation and Concierge Services
• Johnest Transportation and Concierge Services
• Abajah Rose Johnkin
• Dominique Johns
• Julie Ann Johnsen, CRNA
• Stacey Renee Johnson Belmont, PHD
• Johnson Healthcare Providers LTD
• Johnson Healthcare Services

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.