Active NPI
Noreen P Lewis, DO
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1780674309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS012302
- Practice address
- 5630 Chestnut St
Philadelphia, PA 19139-3232 - Phone
- (215) 748-3100
- Fax
- (215) 748-1586
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS012302 | PA | Primary |
Addresses
Primary practice location
5630 Chestnut St
Philadelphia, PA 19139-3232
Mailing address
1 W Elm St
Conshohocken, PA 19428-2007
Phone (610) 567-6964
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012302 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Darby, PA
- NPI 1053394122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780674309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6964",
"fax_number": "610-567-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393232",
"telephone_number": "215-748-3100",
"fax_number": "215-748-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NOREEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS012302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- 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.