Vincent Lewis Medical, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VINCENT LEWIS MEDICAL, PA

Practice address

908 9TH Ave
Ft Worth, TX 76104-3904

Phone

(817) 332-5227

Fax

(817) 332-1665

NPI assigned

Apr 4, 2014

Last updated

Apr 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent J Lewis, DONPI 1407819493

Title

Owner

Phone

(817) 332-8227

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Jerome Lewis, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1407819493

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1396163440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 9TH AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043904",
            "telephone_number": "817-332-5227",
            "fax_number": "817-332-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 9TH AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043904",
            "telephone_number": "817-332-5227",
            "fax_number": "817-332-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT LEWIS MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-332-8227",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Villegas, CNM
• Nicole Villegas
• Victoria Villegas
• Whitney Johnson Villegas, AG-ACNP
• Andrea Villescas
• Victoria L Vincent, RN
• Juanita Vincenty, OD
• Vine Transportation LLC
• Vine Urgent Care PLLC
• Lauren Michelle Vines, LCSW

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.

Verify at the official NPI Registry.