Active NPI
Lewis Bartles, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Monroe, NC
National Provider Identifier
1811082241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 16246
- Practice address
- 600 Hospital Dr
Monroe, NC 28112 - Phone
- (704) 283-3100
- NPI assigned
- Oct 3, 2006
- Reactivated
- Mar 12, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16246 | NC | Primary |
Addresses
Primary practice location
600 Hospital Dr
Monroe, NC 28112
Mailing address
7109 Anchorage LN
Tega Cay, SC 29708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913594 | Medicaid | NC | |
| N16244 | Medicaid | SC |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16246 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1811082241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 ANCHORAGE LN",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "29708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOSPITAL DR",
"city": "MONROE",
"state": "NC",
"postal_code": "28112",
"telephone_number": "704-283-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLES",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-03-12",
"deactivation_date": "2013-01-07",
"reactivation_date": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "16246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913594",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N16244",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.