Organization Active NPI

Chad E. Lewis, MD, PLLC

  • Colon & Rectal Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1730354572
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
M0150 Issued in TX
Legal business name
CHAD E. LEWIS, MD, PLLC
Practice address
6100 Harris Pkwy
Suite 270
Fort Worth, TX 76132-4101
Phone
(817) 433-5995
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Chad E. Lewis, MD
Title
Sole Member
Phone
(817) 433-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X M0150 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy
Suite 270
Fort Worth, TX 76132-4101

Mailing address

6100 Harris Pkwy
Suite 270
Fort Worth, TX 76132-4101
Phone (817) 433-5995

National Provider Directory

National Provider Directory

Locations

6100 Harris Pkwy
Ste 270
Fort Worth, TX 76132
Phone (817) 336-6012

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1730354572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-433-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-433-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD E. LEWIS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-433-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M0150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.