Active NPI
Michael Jeff Lewis, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- TAP002239
- Practice address
- 905 Crescent Rd
Shreveport, LA 71107-3908 - Phone
- (318) 617-5563
- NPI assigned
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | TAP002239 | LA | Primary |
Addresses
Primary practice location
905 Crescent Rd
Shreveport, LA 71107-3908
Mailing address
PO Box 1350
Minden, LA 71058-1350
Phone (318) 617-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8001 Youree Dr
Shreveport, LA 71115-2302
Phone (318) 212-3000
Hospital & facility affiliations
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP002239 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| Homer Memorial Hospital | Current | Accepting new patients | |
| Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Tandem Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Health Shreveport LLC | Current | Accepting new patients | |
| Webster Anesthesiology Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients |
Locations
3220 N St NW
Washington, DC 20007
Phone (202) 338-6051
620 E College St
Homer, LA 71040
Phone (318) 927-2024
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754
3217 Mabel St
Shreveport, LA 71103
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Homer, LA
- NPI 1609066646
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1356453583
Nurse Anesthetist, Certified Registered
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
LA, Nurse Anesthetist, Certified Registered
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Homer, LA
- NPI 1306441175
-
- Certified Registered Nurse Anesthetist
- Homer, LA
- NPI 1568675734
Nurse Anesthetist, Certified Registered
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1366773400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1350",
"city": "MINDEN",
"state": "LA",
"postal_code": "710581350",
"telephone_number": "318-617-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 CRESCENT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711073908",
"telephone_number": "318-617-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MICHAEL",
"middle_name": "JEFF",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "TAP002239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.