Lewis & McCorry PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEWIS & MCCORRY PC

Doing business as

Standale Family Physicians

Practice address

3863 Lake Michigan Dr NW
Grand Rapids, MI 49534-4520

Phone

(616) 453-2429

Fax

(616) 453-8340

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leonard A Lewis Jr., DONPI 1174581300

Title

Member

Phone

(616) 453-2429

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Standale Family Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Leonard A Lewis Jr., D.O.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1174581300
  Medicare reassignment NPD Authorized official
• Karin C Schmottlach, PA-C

  • Physician Assistant
  • Caledonia, MI
  • NPI 1487860466
  Medicare reassignment
• Joel Andrew Vander Wall, MSPT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1386849875
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1659408029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344520",
            "telephone_number": "616-453-2429",
            "fax_number": "616-453-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344520",
            "telephone_number": "616-453-2429",
            "fax_number": "616-453-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & MCCORRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-453-2429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675738",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standale Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Easton Levi
• Amber Levine
• Kelly Ann Levitt, CNM
• Paige Levitte
• Julia Lewandowski
• Brooke Lewis-Frank
• Ashley Lewis, DNP FNP-BC, RN
• Brian Gerald Lewis, MD
• Caitlin Lewis
• Camie Teneil Lewis, PHARMD

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.