Martin Gwent Lewis, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME43645 Issued in FL

Practice address

6501 Pasadena Avenue, North
St. Petersburg, FL 33710

Phone

(727) 343-3545

Fax

(727) 343-3681

NPI assigned

Jul 6, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Surgical Pathology Laboratories PA

  • Clinical Medical Laboratory
  • Pinellas Park, FL
  • NPI 1184698086
  Medicare reassignment NPD
• Sun Pathology, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Largo, FL
  • NPI 1740224591
  NPD (past) Authorized official
• Richard Degregorio MD P a

  • Specialist
  • Pinellas Park, FL
  • NPI 1609934850
  NPD
• Ameripath Florida LLC

  dba AmeriPath South Florida

  • Clinical Medical Laboratory
  • Pompano Beach, FL
  • NPI 1952381477
  NPD (past)
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1962254987
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1326070962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PASADENA AVENUE, NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-343-3545",
            "fax_number": "727-343-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PASADENA AVENUE, NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-343-3545",
            "fax_number": "727-343-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARTIN",
        "middle_name": "GWENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME43645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257906500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah K Lewis, LCSW
• Florence J Lewis
• Janice M Lewis
• Kayleigh Lewis
• Kevin Lewis, ARNP
• Maxine Lewis, L.AC.
• Susan Aileen Lewis, ARNP
• Dedee Ann Ley, ARNP
• Sabrina Mia Lezotte, APRN
• Albert Li, M.D.

• Anatomic Pathology & Clinical Pathology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.