Active NPI
Michelle E Lewis, PA-C
- Physician Assistant
- Salem, OR
National Provider Identifier
1376843417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1600 State St
Salem, OR 97301-4257 - Phone
- (503) 540-6300
- Fax
- (503) 540-6404
- NPI assigned
- Oct 22, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OR | Primary |
Addresses
Primary practice location
1600 State St
Salem, OR 97301-4257
Mailing address
1600 State St
Salem, OR 97301-4257
Phone (503) 540-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500629175 | Medicaid | OR |
Other names 1
- Michelle E Swanick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Nose Clinic LLC | Past | Accepting new patients |
Interoperability endpoints
- michelle.lewis.p1@direct.leonardplasticsurg.nextgenshare.com
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Salem, OR
- NPI 1568669273
-
- Otolaryngology Physician
- Salem, OR
- NPI 1043874696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1376843417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MICHELLE",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500629175",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SWANICK",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.