Lewis Jackson Dorrance, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 2335 Issued in FL

Practice address

4416 Nicole Cir
Tequesta, FL 33469-2574

Phone

(561) 603-2788

NPI assigned

Oct 6, 2006

Last updated

Jun 14, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ldorrance19683@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: lewis.dorrance.1@31266.direct.athenahealth.com

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.

• Lewjack Assisting LLC

  • Surgical Physician Assistant
  • Tequesta, FL
  • NPI 1538488846
  Authorized official Same address or phone
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1467549105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 NICOLE CIR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 NICOLE CIR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692574",
            "telephone_number": "561-603-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRANCE",
        "first_name": "LEWIS",
        "middle_name": "JACKSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 2335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "PA 2335",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetic Health Agency Inc
• Diabetic Supply Distributors
• Dmes Inc
• Carolina Dominguez
• Jill Caroline Dooley, D.D.S.
• Cassandra Madison Dunn-Tackett, DMD
• Remai Jacqueline Eckhardt, MS CCC-SLP
• Elevate Dental PA
• Evolution Counseling
• Eyes of Tequesta, PLLC

• Surgical Physician Assistant in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.