Active NPI
Samuel Lewis MD PA
- Nuclear Cardiology Physician
- Frisco, TX
National Provider Identifier
1306035043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- E7652
- Legal business name
- SAMUEL LEWIS MD PA
- Practice address
- 11335 Altamont Dr
Frisco, TX 75034-1182 - Phone
- (214) 729-1650
- Fax
- (214) 722-1790
- NPI assigned
- Oct 18, 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
- Dr. Samuel Lewis, M.D.
- Title
- President
- Phone
- (214) 729-1650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | E7652 | TX | Primary |
Addresses
Primary practice location
11335 Altamont Dr
Frisco, TX 75034-1182
Mailing address
3245 W Main St
Suite 235-376
Frisco, TX 75034-4411
Phone (214) 729-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1306035043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 W MAIN ST",
"address_2": "SUITE 235-376",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344411",
"telephone_number": "214-729-1650",
"fax_number": "214-722-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11335 ALTAMONT DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341182",
"telephone_number": "214-729-1650",
"fax_number": "214-722-1790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL LEWIS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-729-1650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "TX",
"license": "E7652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.