Active NPI
Lewis Fairbanks Nettrour, M.D.
- Orthopaedic Surgery Physician
- Gibsonia, PA
National Provider Identifier
1750681623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD013246E
- Practice address
- 6019 West Grove Cir
Gibsonia, PA 15044 - Phone
- (724) 625-7959
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD013246E | PA | Primary |
Addresses
Primary practice location
6019 West Grove Cir
Gibsonia, PA 15044
Mailing address
6019 West Grove Cir
Gibsonia, PA 15044
Phone (724) 625-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013246E | PA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1750681623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 WEST GROVE CIR",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "15044",
"telephone_number": "724-625-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WEST GROVE CIR",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "15044",
"telephone_number": "724-625-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTROUR",
"first_name": "LEWIS",
"middle_name": "FAIRBANKS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD013246E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.