Lewis Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD059944L Issued in PA

Legal business name

LEWIS FAMILY PRACTICE PC

Practice address

1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146

Phone

(610) 891-3049

Fax

(610) 891-3919

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Michele Miller

Title

Manager

Phone

(610) 891-3905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Broody, CRNP

  • Family Nurse Practitioner
  • Berwyn, PA
  • NPI 1487737417

  PA

  Medicare reassignment NPD
• Walter E. Lewis, M.D.

  • Family Medicine Physician
  • Media, PA
  • NPI 1396755625

  Family Medicine, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790795995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE #2208",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-891-3049",
            "fax_number": "610-891-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE #2208",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-891-3049",
            "fax_number": "610-891-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-891-3905"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD059944L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Dzubow MD PC
• Leunissen & Leunissen P.C.
• George M. Leute III
• Elizabeth Leveire, RBT
• Scott Eric Levy, D.D.S.
• Walter E. Lewis, M.D.
• Kelly Liddell, MSN, RN, SANE-P
• George Lieb, MD
• Andrew L Lieberman, D.M.D.
• Douglas B Lieberman, MD

• All providers in Media, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.