Active NPI
Elizabeth A Lewis, D.O.
- Anesthesiology Physician
- Morgantown, WV
National Provider Identifier
1285740159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1972
- Practice address
- 1200 J D Anderson Dr
Mid Atlantic Anesthesia Consultants, PLLC
Morgantown, WV 26505-3494 - Phone
- (304) 346-9400
- Fax
- (304) 345-7320
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1972 | WV | Primary |
Addresses
Primary practice location
1200 J D Anderson Dr
Mid Atlantic Anesthesia Consultants, PLLC
Morgantown, WV 26505-3494
Mailing address
Mid Atlantic Anesthesia Consultants PLLC
P. O. Box 711841
Columbus, OH 43271-0001
Phone (304) 346-9400
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA0096 | Other | WV | RR MEDICARE |
| 001757382 | Other | WV | MSBCBS |
| 3003594000 | Medicaid | WV | |
| 0207026000 | Medicaid | WV | |
| 27005299701 | Other | WV | WORKERS COMP |
| 27005299700 | Other | WV | WORKERS COMP |
| 270052997004 | Other | WV | TRICARE |
| 9364011 | Other | WV | MEDICARE GROUP AAP |
| P00142950 | Other | WV | RR MEDICARE |
| 20554238700 | Other | WV | BRICKSTREET GROUP |
| 0014706469 | Other | WV | MSBCBS GROUP |
| 1070944 | Other | WV | BRICKSTREET |
| 2022544 | Other | WV | ALLIANCE |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Anesthesia Consultants, LLC | Anesthesiology | Past | Accepting new patients |
| Professional Anesthesia Service,Inc. | Anesthesiology | Past | Accepting new patients |
| Center for Pain Relief, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1831116375
-
- Anesthesiology Physician
- Hurricane, WV
- NPI 1144248907
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1285740159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MID ATLANTIC ANESTHESIA CONSULTANTS PLLC",
"address_2": "P. O. BOX 711841",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432710001",
"telephone_number": "304-346-9400",
"fax_number": "304-345-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 J D ANDERSON DR",
"address_2": "MID ATLANTIC ANESTHESIA CONSULTANTS, PLLC",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053494",
"telephone_number": "304-346-9400",
"fax_number": "304-345-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "1972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA0096",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001757382",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003594000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207026000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "27005299701",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "27005299700",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "270052997004",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP AAP",
"identifier": "9364011",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00142950",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET GROUP",
"identifier": "20554238700",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS GROUP",
"identifier": "0014706469",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1070944",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "2022544",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.