Gregory P Lewandowski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R42821 Issued in NM

Practice address

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Phone

(505) 662-9256

NPI assigned

Aug 31, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Care for You

  • Specialist
  • Espanola, NM
  • NPI 1841497849
  NPD (past)
• Eye Care Surgery

  • Ophthalmologic Surgery Clinic/Center
  • Espanola, NM
  • NPI 1932118734
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1679684021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 589",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
            "city": "FT. DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "505-685-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "505-662-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R42821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1676",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BCBS",
            "identifier": "NM006H10",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Lehotay, RN
• James Leslie, LSAA
• Lynn Alane Leslie, RCP-RRT
• Micah Gene-Lauren Leslie, RDH
• Melissa Marie Lester, O.D.
• Kevin A Lewellen, CRNA
• William Liebbe, APN
• Karen Little Elk, RN
• Robert Calvin Lloyd Jr., DMD
• Doracita Marie Lonetree, LCSW

• Certified Registered Nurse Anesthetist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.