Active NPI
Randy Lew, DPM, PA
- Foot & Ankle Surgery Podiatrist
- Burleson, TX
National Provider Identifier
1770618217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1495
- Legal business name
- RANDY LEW, DPM, PA
- Practice address
- 11807 South Fwy
Suite 361
Burleson, TX 76028-7005 - Phone
- (817) 615-8110
- Fax
- (817) 615-8099
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Lew, DPM
- Title
- President
- Phone
- (817) 615-8110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1495 | TX | Primary |
Addresses
Primary practice location
11807 South Fwy
Suite 361
Burleson, TX 76028-7005
Mailing address
11807 South Fwy
Suite 361
Burleson, TX 76028-7005
Phone (817) 615-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
11807 South Fwy
Burleson, TX 76028
Phone (817) 551-0445
11807 South Fwy
Ste 361
Burleson, TX 76028
Phone (817) 293-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Burleson, TX
- NPI 1528025277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1770618217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11807 SOUTH FWY",
"address_2": "SUITE 361",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287005",
"telephone_number": "817-615-8110",
"fax_number": "817-615-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11807 SOUTH FWY",
"address_2": "SUITE 361",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287005",
"telephone_number": "817-615-8110",
"fax_number": "817-615-8099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDY LEW, DPM, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "LEW",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-615-8110",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.