Michael R. Lewis, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

13326 Issued in MS

Legal business name

MICHAEL R. LEWIS, MD, PA

Practice address

4500 Old Pass Rd
Gulfport, MS 39501-2585

Phone

(228) 865-7890

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Lewis, M.D.

Title

President

Phone

(228) 865-7890

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1679724785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-865-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-865-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. LEWIS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-865-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "13326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568409878",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Chris Meyers, NP
• Summer Meyers
• Michael O. Williams DDS.PA (Gulf Coast Center For Advanced Cosmetic Orthodonics)
• Michael O. Williams, D.D.S.,P.a.
• Michael Payment MD Cardiology PA
• Jonathan A Mihnovets, D.O.
• Stephen L Mikell, MD
• Amanda Miller, FNP
• Chelsea Miller, RBI
• Debbie Ann Miller, RDH

• Medical Specialty Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.