John Edgar Lewis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3019 Issued in LA

Practice address

65 Medical Park Blvd
Suite 103
Pineville, LA 71360-8428

Phone

(318) 484-2951

Fax

(318) 484-2951

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710081393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEDICAL PARK BLVD",
            "address_2": "SUITE 103",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713608428",
            "telephone_number": "318-484-2951",
            "fax_number": "318-484-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEDICAL PARK BLVD",
            "address_2": "SUITE 103",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713608428",
            "telephone_number": "318-484-2951",
            "fax_number": "318-484-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Ballard Lemoine, PHARM.D.
• Andrea L. Lemons, MSW, GSW
• Virginia S Levi, OT
• Adam Michael Lewis, PHD
• Briana Lewis
• Laurie Gary Lewis, MS, RD, LDN
• Linda Lindsey, M.D.
• Shakiyla Lindsey
• Jeff Linzay, RPH
• Felton Kyle Liotta, LCSW

• Dermatology Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.