Robert D Lewis MD LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ROBERT D LEWIS MD LLC

Practice address

4139 Boardman Canfield Rd Ste B
Canfield, OH 44406-9034

Phone

(330) 967-4224

Fax

(330) 967-4226

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Lewis, MDNPI 1407837412

Title

Owner

Phone

(330) 967-4224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Robert D. Lewis, M.D. LLC

  • Plastic Surgery Physician
  • Canfield, OH
  • NPI 1407837412
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1679177620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 BOARDMAN CANFIELD RD STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069034",
            "telephone_number": "330-967-4224",
            "fax_number": "330-967-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 BOARDMAN CANFIELD RD STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069034",
            "telephone_number": "330-967-4224",
            "fax_number": "330-967-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D LEWIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-967-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Leann Richards, COTA/L
• Erica Richley-Duda
• George William Richter Jr., OD
• Kathrin Cassandra Ritz
• Marissa Rivera
• Rachael Robertson, M.A. CCC-SLP
• Roholt Vision Institute Inc
• Jennifer Lynn Romeo, LSW
• Marybeth Filisky Romeo, PT
• Melinda Ann Ross, DDS

• Plastic Surgery Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.