Casey Miles Lewis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41599 Issued in KY

Practice address

1707 Cedar Grove Rd Ste 20
Shepherdsville, KY 40165-8592

Phone

(502) 215-5090

Fax

(502) 215-5095

NPI assigned

Feb 13, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatrics of Bullitt County PLLC

  • Rural Health Clinic/Center
  • Shepherdsville, KY
  • NPI 1164293908
  NPD (past) Authorized official
• Pediatrics of Bullitt County PLLC

  • Pediatrics Physician
  • Shepherdsville, KY
  • NPI 1730326109
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1538201892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CEDAR GROVE RD STE 20",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658592",
            "telephone_number": "502-215-5090",
            "fax_number": "502-215-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CEDAR GROVE RD STE 20",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658592",
            "telephone_number": "502-215-5090",
            "fax_number": "502-215-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CASEY",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200922040",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100047810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Elizabeth Krystofiak, MS SLP
• Maria G Landeros, LMFT
• Shannon Rebecca Layman, BCBA
• Legacy Billing Solution
• Debra L Lentz, RD MS LD CN
• Brooke Livers
• Teresa Miller Lloyd
• Lynndi Sue Lockenour, M.ED., LPCC
• Elizabeth Michele Logsdon, LSW
• Paz Lotan, M.D.

• Pediatrics Physician in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.