Individual provider Active NPI

Sara Lewis, CSFA

  • Surgical Physician Assistant
  • Bridge City, TX
National Provider Identifier
1457809907
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
820 W Round Bunch Rd
Bridge City, TX 77611
Phone
(409) 892-3707
Fax
(409) 892-4185
NPI assigned
Sep 13, 2016
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

820 W Round Bunch Rd
Bridge City, TX 77611

Mailing address

820 W Round Bunch Rd
Bridge City, TX 77611-2428
Phone (409) 892-3707

Other practice location 1

407 Crescent Dr
Bridge City, TX 77611-4101
Phone (409) 892-3707

Other practice location 2

407 Crescent Dr
Bridge City, TX 77611-4101
Phone (409) 892-3707

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sara L. Lewis, Csfa, LLC Multi-Specialty 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1457809907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112428",
            "telephone_number": "409-892-3707",
            "fax_number": "409-892-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "77611",
            "telephone_number": "409-892-3707",
            "fax_number": "409-892-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Bridge City",
            "state": "TX",
            "postal_code": "776114101",
            "country_code": "US",
            "telephone_number": "409-892-3707",
            "fax_number": "409-892-4185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Bridge City",
            "state": "TX",
            "postal_code": "776114101",
            "country_code": "US",
            "telephone_number": "409-892-3707",
            "fax_number": "409-892-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARA",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.