Organization Active NPI

O&W Surgical PLLC

  • Colon & Rectal Surgery Physician
  • Canyon, TX
National Provider Identifier
1659915254
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
O&W SURGICAL PLLC
Practice address
1617 4TH Ave
Canyon, TX 79015-3824
Phone
(806) 452-7221
Fax
(806) 452-7231
NPI assigned
Nov 6, 2019
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Chad E Lewis, MDNPI 1871552869
Title
Sole MBR/President
Phone
(806) 452-7221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

1617 4TH Ave
Canyon, TX 79015-3824

Mailing address

2200 4TH Avenue
#207
Canyon, TX 79015-4030
Phone (806) 452-7221

National Provider Directory

National Provider Directory

Locations

1617 4th Ave
Canyon, TX 79015
Phone (806) 452-7221

1619 4th Ave
Canyon, TX 79015
Phone (806) 557-4138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1659915254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 4TH AVENUE",
            "address_2": "#207",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154030",
            "telephone_number": "806-452-7221",
            "fax_number": "806-452-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153824",
            "telephone_number": "806-452-7221",
            "fax_number": "806-452-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&W SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MBR/PRESIDENT",
        "authorized_official_telephone_number": "806-452-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.