Active NPI
Beverly Guillory Lewis MD, PA
- Surgery Physician
- Galveston, TX
National Provider Identifier
1275723249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F4211
- Legal business name
- BEVERLY GUILLORY LEWIS MD, PA
- Practice address
- 1021 61St St
#210
Galveston, TX 77550-0000 - Phone
- (409) 740-2700
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dennice M. Watkins
- Title
- Office Manager
- Phone
- (409) 945-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F4211 | TX | Primary |
Addresses
Primary practice location
1021 61St St
#210
Galveston, TX 77550-0000
Mailing address
1228 N Logan St
Ste 200
Texas City, TX 77590-5171
Phone (409) 945-0810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1021 61st St
#210
Galveston, TX 77551
Phone (409) 740-2700
1228 N Logan St
Ste 200
Texas City, TX 77590
Phone (409) 945-0810
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Galveston, TX
- NPI 1356425227
-
- Surgery Physician
- Augusta, GA
- NPI 1124040266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1275723249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 N LOGAN ST",
"address_2": "STE 200",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775905171",
"telephone_number": "409-945-0810",
"fax_number": "409-945-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 61ST ST",
"address_2": "#210",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775500000",
"telephone_number": "409-740-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY GUILLORY LEWIS MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "DENNICE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "409-945-0810",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "F4211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.