Individual provider Active NPI

Bryan Anthony Lewis, CNP

  • Family Nurse Practitioner
  • North Canton, OH
National Provider Identifier
1508198094
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11272 Issued in OH
Practice address
6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone
(330) 499-5600
Fax
(330) 499-4190
NPI assigned
Feb 8, 2010
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11272 OH Primary

Addresses

Primary practice location

6512 Whipple Ave NW
North Canton, OH 44720-7340

Mailing address

3121 Miday Ave
Louisville, OH 44641-8934
Phone (330) 875-4935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214001418 OH Practitioner - Nurse Practitioner 4385873330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

1020 Trump Rd NW
Suite 2
Carrollton, OH 44615-8420
Phone (330) 627-0884

1020 Trump Rd NW
Suite 4
Carrollton, OH 44615-8423
Phone (330) 627-0884

211 Scio Rd SW
Carrollton, OH 44615-8521
Phone (330) 627-7055

603 Monroe St
Dover, OH 44622-2046
Phone (330) 364-8889

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone (330) 449-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11272OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Now Urgent Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
Aultman North Canton Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Orrville Hospital Foundation CurrentSince Aug 12, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Aug 12, 2023 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
North Canton Medical Foundation Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1020 Trump Rd NW
Ste 2
Carrollton, OH 44615
Phone (330) 627-0884

1020 Trump Rd NW
Ste 4
Carrollton, OH 44615
Phone (330) 627-0884

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

855 W Maple St
Ste 120
Hartville, OH 44632
Phone (330) 587-3148

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

6512 Whipple Ave NW
North Canton, OH 44720
Phone (330) 499-5600

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: bryan.lewis@direct.aultman.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1508198094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 MIDAY AVE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418934",
            "telephone_number": "330-875-4935",
            "fax_number": "330-499-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-499-5600",
            "fax_number": "330-499-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.