David Owen Lewis, M.D.
Individual provider Active NPI Emergency Medicine Physician · Stuart, VA
NPI 1346397304 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1346397304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101023990 (VA)
- Practice address
- 18688 Jeb Stuart Hwy
Stuart, VA 24171-1559 - Phone
- (276) 694-8655
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504001676 | VA | Practitioner - Family Practice | 5395733646 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101023990 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
727 N Main St
Emporia, VA 23847
Phone (434) 348-4400
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101023990 | VA | Yes |
Addresses
Primary practice location
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Mailing address
828 Turner Ashby Rd
Martinsville, VA 24112-0647
Phone (276) 632-8549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39-17467 | Other | NC | UNITED HEALTH CARE |
| 13725C | Other | NC | BLUE CROSS BLUE SHIELD |
| 6101 | Other | NC | PARTNERS |
| 5900678 | Medicaid | NC |
Other providers in Stuart, VA
- Landmark Alf Operations LLC
- Landmark Transport LLC
- Tracy M Lange
- James A. Law
- Legacy Wellness LLC
- Lexington Clinic Corp
- Lexington Family Physicians LLC
- Dana Stewart Mabe
- Evelyn Madison
- Sheree Wells Marilla
All providers in Stuart, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.