Individual provider Active NPI

Christopher Lewis

  • Physician Assistant
  • Ashland, KY
National Provider Identifier
1255178398
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
613 23Rd St Ste 520
Ashland, KY 41101-2878
Phone
(606) 326-1675
Fax
(606) 326-1436
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 Primary

Addresses

Primary practice location

613 23Rd St Ste 520
Ashland, KY 41101-2878

Mailing address

2426 S 7TH St
Ironton, OH 45638-2627
Phone (740) 646-0200

Other practice location 1

2426 S 7th St
Ironton, OH 45638-2627
Phone (740) 646-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241125001255 KY Practitioner - Physician Assistant 9234664483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

650 Sprucewood LN
Erlanger, KY 41018-1062
Phone (859) 282-6600

7300 Beechmont Ave
Cincinnati, OH 45230-4119

7683 Mall Rd
Unit B
Florence, KY 41042-1590
Phone (859) 817-1320

85 Carothers Rd
Unit 207
Newport, KY 41071-2415
Phone (513) 847-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TC096KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Nov 11, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc. Physician Assistant CurrentSince Nov 11, 2024 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 520
Ashland, KY 41101
Phone (606) 326-1675

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1255178398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S 7TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382627",
            "telephone_number": "740-646-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 520",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012878",
            "telephone_number": "606-326-1675",
            "fax_number": "606-326-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2426 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456382627",
            "country_code": "US",
            "telephone_number": "740-646-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.