Active NPI
Jane P. Lewis, P.A.
- Medical Physician Assistant
- McAlester, OK
National Provider Identifier
1356331946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 679
- Practice address
- 1558 S Main St
McAlester, OK 74501-7036 - Phone
- (918) 426-0900
- NPI assigned
- Oct 25, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 679 | OK | Primary |
Addresses
Primary practice location
1558 S Main St
McAlester, OK 74501-7036
Mailing address
5031 Carl Albert Rd.
McAlester, OK 74501
Phone (918) 423-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100226780A | Medicaid | OK |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rogers Clinic | Past | Accepting new patients | |
| Caring Hands Healthcare Centers Inc | Past | Accepting new patients | |
| Advanced Dermatology, 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.
-
- MOHS-Micrographic Surgery Physician
- McAlester, OK
- NPI 1750466934
-
- Federally Qualified Health Center (FQHC)
- McAlester, OK
- NPI 1538748538
-
- Family Medicine Physician
- McAlester, OK
- NPI 1548315971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1356331946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 CARL ALBERT RD.",
"city": "MCALESTER",
"state": "OK",
"postal_code": "74501",
"telephone_number": "918-423-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 S MAIN ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745017036",
"telephone_number": "918-426-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JANE",
"middle_name": "P.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100226780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.