Active NPI
Ernest C Lewis, M.D.
- Medical Oncology Physician
- Springfield, MO
National Provider Identifier
1457445579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 46104
- Practice address
- 2115 S Fremont Ave
Suite 1000
Springfield, MO 65804-2239 - Phone
- (417) 820-8099
- Fax
- (417) 820-8093
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 46104 | WI | Primary |
| Medical Oncology Physician | 207RX0202X | 4301082745 | MI | |
| Medical Oncology Physician | 207RX0202X | 2008020485 | MO |
Addresses
Primary practice location
2115 S Fremont Ave
Suite 1000
Springfield, MO 65804-2239
Mailing address
PO Box 13453
Green Bay, WI 54307-3453
Phone (920) 432-6049
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104541760 | Medicaid | MI | |
| 172426001 | Medicaid | AR | |
| 34436200 | Medicaid | WI | |
| P00635672 | Other | MO | TRAVELERS RR MEDICARE |
| EL082745 | Other | MI | BCBS MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082745 | MI | MD | Medical Oncology Physician |
| 46104 | WI | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1457445579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13453",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543073453",
"telephone_number": "920-432-6049",
"fax_number": "920-884-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 S FREMONT AVE",
"address_2": "SUITE 1000",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042239",
"telephone_number": "417-820-8099",
"fax_number": "417-820-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ERNEST",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WI",
"license": "46104",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "4301082745",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MO",
"license": "2008020485",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104541760",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172426001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34436200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS RR MEDICARE",
"identifier": "P00635672",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "EL082745",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.