DRS Brad & Elaine Lewis MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35056043 Issued in OH

Legal business name

DRS BRAD & ELAINE LEWIS MD LLC

Practice address

1147 E Main St
Lancaster, OH 43130-4056

Phone

(740) 687-9173

Fax

(740) 689-3740

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Matthew T Wolf, BSBA

Title

Contract/Credentialing Manager

Phone

(740) 687-5164

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Elaine Marie Lewis, MD

  • Internal Medicine Physician
  • Lancaster, OH
  • NPI 1851383657
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1801073499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-9173",
            "fax_number": "740-689-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-9173",
            "fax_number": "740-689-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BRAD & ELAINE LEWIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CONTRACT/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "740-687-5164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35056043",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35059549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Lee Doss, M.D.
• Michelle Douglass, MD
• Megan Elizabeth Dowds, LISW-S
• Dr. Bruce B. Baker DDS and Dr. Robert a McDavid DDS LLC
• Jonathan W. Draney, D.D.S.
• Jodie Duffee
• Michael Craig Duffey, M.D.
• Brooke Renee Dugan, L.M.T.
• Ashley Morgan Dumolt
• David Joe Dunbar, M.D.

• Family Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.