Active NPI
Ronald S Lev, PT
- Preventive Medicine/Occupational Environmental Medicine Physician
- Lilburn, GA
National Provider Identifier
1669598439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- PT000989
- Practice address
- 4150 Runnymede Dr SW
Lilburn, GA 30047-3367 - Phone
- (770) 978-7744
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | PT000989 | GA | Primary |
Addresses
Primary practice location
4150 Runnymede Dr SW
Lilburn, GA 30047-3367
Mailing address
4150 Runnymede Dr SW
Lilburn, GA 30047-3367
Phone (770) 978-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000989 | GA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1669598439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 RUNNYMEDE DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473367",
"telephone_number": "770-978-7744",
"fax_number": "615-778-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 RUNNYMEDE DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473367",
"telephone_number": "770-978-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEV",
"first_name": "RONALD",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "GA",
"license": "PT000989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.