Active NPI
Jehdeiah B Lewis, MD,REV, PHD.
- Pain Medicine Physician
- Honolulu, HI
National Provider Identifier
1255983177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 3759872
- Practice address
- 1542 Wilhelmina Rise
Honolulu, HI 96816-7303 - Phone
- (808) 371-7902
- Fax
- (808) 278-5654
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3759872 | HI | |
| Pain Medicine Physician | 208VP0000X | 3759872 | HI | Primary |
Addresses
Primary practice location
1542 Wilhelmina Rise
Honolulu, HI 96816-7303
Mailing address
1542 Wilhelmina Rise
Honolulu, HI 96816-7303
Phone (808) 371-7902
Other names 1
- Dr. John B Lewis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carecollc@zoho.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759872 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255983177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 WILHELMINA RISE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968167303",
"telephone_number": "808-371-7902",
"fax_number": "808-278-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 WILHELMINA RISE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968167303",
"telephone_number": "808-371-7902",
"fax_number": "808-278-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEHDEIAH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD,REV, PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "3759872",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "HI",
"license": "3759872",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carecollc@zoho.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1542 Wilhelmina Rise",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968167303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOHN",
"last_name": "LEWIS",
"middle_name": "B",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.