Marshall Corydon Lewis, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

ME78926 Issued in FL

Practice address

5325 Greenwood Ave
Suite #302
West Palm Beach, FL 33407-2452

Phone

(561) 844-9858

Fax

(561) 844-3436

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mlewis20284@jupitermedicalcenter.direct-ci.com

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.

• P&O Pediatric and Fetal Cardiology and Wellness LLC

  • Pediatric Cardiology Physician
  • Port St Lucie, FL
  • NPI 1528898905
  NPD (past) Authorized official
• Cardiology Partners PL

  • Cardiovascular Disease Physician
  • Wellington, FL
  • NPI 1518978626

  Pediatric Cardiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1386698686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE #302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-844-9858",
            "fax_number": "561-844-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE #302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-844-9858",
            "fax_number": "561-844-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 SW Glenview Ct Ste 818",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349532684",
            "country_code": "US",
            "telephone_number": "772-240-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Main St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334307808",
            "country_code": "US",
            "telephone_number": "561-996-8799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 SW Glenview Ct Ste 812&814",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349532684",
            "country_code": "US",
            "telephone_number": "772-240-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARSHALL",
        "middle_name": "CORYDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME78926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264490800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennett Alan Lewis
• Daniel Roger Lewis, A.P.
• Gregory Lewis
• Kristen Lewis
• Kyle Lewis
• Nathaniel Lewis
• Pamela Lodell Lewis
• Krystal Lexima
• Jorge Jassan Leyva Garay
• Rene Leyva Quevedo, ARNP

• Pediatric Cardiology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatric Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.

Verify at the official NPI Registry.