Organization Active NPI

Dorothy Lewis MD, LLC

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1578087516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
021262 Issued in LA
Legal business name
DOROTHY LEWIS MD, LLC
Practice address
52 Oaklawn Dr
Covington, LA 70433-4518
Phone
(985) 542-1364
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dorothy Lewis, MDNPI 1932186491
Title
Owner
Phone
(985) 542-1364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 021262 LA Primary

Addresses

Primary practice location

52 Oaklawn Dr
Covington, LA 70433-4518

Mailing address

PO Box 2308
Hammond, LA 70404-2308
Phone (985) 542-1364

Other practice location 1

120 N Cate St
Hammond, LA 70401-3357
Phone (985) 542-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171006001021 LA Part B Supplier - Clinic/Group Practice 4082989637 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, LA; Covington, LA

National Provider Directory

National Provider Directory

Locations

120 N Cate St
Hammond, LA 70401
Phone (504) 542-1364

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578087516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042308",
            "telephone_number": "985-542-1364",
            "fax_number": "985-542-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 OAKLAWN DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334518",
            "telephone_number": "985-542-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Cate St",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704013357",
            "country_code": "US",
            "telephone_number": "985-542-1364",
            "fax_number": "985-542-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOROTHY LEWIS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-542-1364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "021262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.