Individual provider Active NPI

Lawrence A Lewis, MD

  • Emergency Medicine Physician
  • Bucyrus, OH
National Provider Identifier
1346206604
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35068697L Issued in OH
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 562-4677
Fax
(419) 862-0987
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35068697L OH Primary

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 7

IdentifierTypeStateIssuer
1080002MedicaidOH
930116138OtherOHRR MEDICARE MARION
000000246458OtherOHBCBS MARION
P00216224OtherOHMEDICARE RAIL ROAD/BUCYRUS
000000316694OtherOHANTHEM/BCBS
000000384391OtherBCBS GALION
P00320500OtherRR NMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000557 OH Practitioner - Emergency Medicine 1951295013 Reassigns benefits to 3 organizations
I20180123000658 FL Practitioner - Emergency Medicine 1951295013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers Inc 314 clinicians

Practice addresses (Care Compare)

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35068697LOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Nov 26, 2017 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 1, 2024 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Nov 26, 2017 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 16, 2014 Accepting new patients
MD Now Medical Centers Inc Current Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 16, 2015 Accepting new patients
Bucyrus Community Hospital LLC Past Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

9060 N Military Trl
West Palm Beach, FL 33410
Phone (561) 295-8822

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1346206604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-562-4677",
            "fax_number": "419-862-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35068697L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MARION",
            "identifier": "930116138",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARION",
            "identifier": "000000246458",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD/BUCYRUS",
            "identifier": "P00216224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000316694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GALION",
            "identifier": "000000384391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR NMEDICARE",
            "identifier": "P00320500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.