Angela Dawn Lewis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KY02545 Issued in KY

Practice address

1021 Kenwood Dr
Russell, KY 41169

Phone

(606) 836-1954

Fax

(606) 836-3878

NPI assigned

Oct 5, 2006

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
• Community Hospice Hospice, Ashland, KY, CCN 181501
• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Merit-based Incentive Payment System (MIPS)

Final score

52.44 of 100Reported as individual

Quality

70.07

Improvement activities

0

Cost

81.39

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alewis72383@direct.kdhealth.us

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.

• Angela D Lewis DO PSC

  • Family Medicine Physician
  • Russell, KY
  • NPI 1821398173
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center Home Health

  • Home Health Agency
  • Ashland, KY
  • NPI 1386782050
  Care Compare affiliation
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Community Hospice Inc

  • Community Based Hospice Care Agency
  • Ashland, KY
  • NPI 1518926369
  Care Compare affiliation
• Portsmouth Hospital Corporation

  dba King's Daughters Medical Center - Ohio

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1417227398
  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation
• St. Mary's Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1710073580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 KENWOOD DR",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "41169",
            "telephone_number": "606-836-1954",
            "fax_number": "606-836-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 KENWOOD DR",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "41169",
            "telephone_number": "606-836-1954",
            "fax_number": "606-836-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY02545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interhope Christian Counseling PLLC
• Allison Charee Jackson, LPCC
• Courtney Joyce, LPCA
• Melissa Gayle King, MA-CCC/SLP
• Lana J Davenport MD PLC
• Susan M. Lichtenberger, M.D.
• Manish Parikh MD
• Nadele McCarty, COTA/L
• Elmer H Mullins Jr., DMD
• Nurseology, LLC (Nurseology)

• Family Medicine Physician in Russell, KY
• Providers in Russell, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.