Active NPI
Jawaun Michael Lewis DO PC
- Neurology Physician
- Norman, OK
National Provider Identifier
1356501019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4092
- Legal business name
- JAWAUN MICHAEL LEWIS DO PC
- Practice address
- 3280 Marshall Avenue
Norman, OK 73072-8028 - Phone
- (405) 579-5858
- Fax
- (405) 292-1787
- NPI assigned
- Jun 16, 2008
- 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
- Mr. Jawaun Michael Lewis, DO
- Title
- Owner
- Phone
- (405) 579-5858
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4092 | OK | Primary |
Addresses
Primary practice location
3280 Marshall Avenue
Norman, OK 73072-8028
Mailing address
3280 Marshall Avenue
Norman, OK 73072-8028
Phone (405) 579-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200034410B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3325 French Park Dr
Edmond, OK 73034
7122 S Sheridan Rd
Tulsa, OK 74133
Phone (405) 541-1146
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
- Peer Specialist
- Boley, OK
- NPI 1073781589
-
- Case Manager/Care Coordinator
- Boley, OK
- NPI 1518462787
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1932312691
-
- Case Manager/Care Coordinator
- Boley, OK
- NPI 1679091243
-
- Contractor
- Boley, OK
- NPI 1245689934
-
- Case Manager/Care Coordinator
- Boley, OK
- NPI 1144887191
-
- Case Manager/Care Coordinator
- Boley, OK
- NPI 1447910294
-
- Case Manager/Care Coordinator
- Boley, OK
- NPI 1588145999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1356501019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 MARSHALL AVENUE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730728028",
"telephone_number": "405-579-5858",
"fax_number": "405-292-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 MARSHALL AVENUE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730728028",
"telephone_number": "405-579-5858",
"fax_number": "405-292-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAWAUN MICHAEL LEWIS DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JAWAUN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-579-5858",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "4092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200034410B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.