Individual provider Active NPI

Calley Lewis, PA-C

  • Physician Assistant
  • Sandusky, OH
National Provider Identifier
1235596008
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004562RX Issued in OH
Practice address
5420 Milan Rd
Sandusky, OH 44870-5846
Phone
(419) 557-6490
NPI assigned
Jan 25, 2016
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004562RX OH Primary

Addresses

Primary practice location

5420 Milan Rd
Sandusky, OH 44870-5846

Mailing address

19 Whitefield Blvd
Norwalk, OH 44857-9594
Phone (440) 821-7996

Other names 1

  • Calley Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215001560 OH Practitioner - Physician Assistant 1254635089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1470W McPherson Hwy
Clyde, OH 43410-1010
Phone (419) 547-0700

5420 Milan Rd
Suite C
Sandusky, OH 44870-5846
Phone (419) 557-6490

703 Tyler St
Sandusky, OH 44870-3391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Feb 1, 2016 Accepting new patients

Locations

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

1470 W McPherson Hwy
Ste A
Clyde, OH 43410

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1031 Pierce St
Ste D
Sandusky, OH 44870

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

2520 Columbus Ave
Ste F
Sandusky, OH 44870
Phone (567) 867-2520

5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052

5420 Milan Rd
Ste C
Sandusky, OH 44870
Phone (419) 557-6490

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: calley.lewis@fpg.medicity.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1235596008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WHITEFIELD BLVD",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579594",
            "telephone_number": "440-821-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705846",
            "telephone_number": "419-557-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CALLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004562RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLEY",
            "last_name": "TAYLOR",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.