Keunsun Lew MD Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KEUNSUN LEW MD INC

Practice address

24 E Whitney Ave
Shelby, OH 44875-1282

Phone

(419) 281-4959

Fax

(419) 281-8767

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janet M Stuart

Title

MGR

Phone

(419) 281-4959

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1447287834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "address_2": "1109 EASTERN AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448050769",
            "telephone_number": "419-281-4959",
            "fax_number": "419-281-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E WHITNEY AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751282",
            "telephone_number": "419-281-4959",
            "fax_number": "419-281-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEUNSUN LEW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "419-281-4959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386989",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Edward Johnson, D.D.S.
• Star June
• Francis Kalombo Ngoy
• Joshua Kemp
• Valerie Kennedy
• Maurice King III
• Katie M Kissel, LISW-S
• Laura Ann Kline, CDCA
• Tanya Kraus, LSW
• Michelle Y Krietemeyer, RPH

• Diagnostic Radiology Physician in Shelby, OH
• Providers in Shelby, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.