Individual provider Active NPI

Winslow Lewis III, P.A.

  • Medical Physician Assistant
  • Missoula, MT
National Provider Identifier
1649509506
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
592 Issued in MT
Practice address
323 W Alder St
Missoula, MT 59802-4123
Phone
(406) 258-4195
Fax
(406) 258-4180
NPI assigned
Dec 23, 2009
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 592 MT Primary

Addresses

Primary practice location

323 W Alder St
Missoula, MT 59802-4123

Mailing address

323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20111202000055 MT Practitioner - Physician Assistant 0446391346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pacific Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partnership Health Center IncGroup PAC ID 6103843479, 51 clinicians

Practice addresses (Care Compare)

3050 Mt Hwy 83 N
Seeley Lake, MT 59868-8620
Phone (406) 677-2277

323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4789

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
592MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Health Center Inc CurrentSince Oct 14, 2011 Accepting new patients
Partnership Health Center Inc CurrentSince Oct 14, 2011 Accepting new patients
Partnership Health Center Inc Past Accepting new patients
Cascade Cardiology LLC Past Accepting new patients

Locations

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: winslow.lewis@pami.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1649509506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-258-4195",
            "fax_number": "406-258-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-258-4195",
            "fax_number": "406-258-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WINSLOW",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.