Active NPI
Craig Roger Lewis, MD
- Internal Medicine Physician
- Livermore Falls, ME
National Provider Identifier
1811976939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12602
- Practice address
- 80 Main St
Central Plaza
Livermore Falls, ME 04254-1529 - Phone
- (207) 897-4345
- Fax
- (207) 897-2321
- NPI assigned
- Jan 17, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12602 | ME | Primary |
Addresses
Primary practice location
80 Main St
Central Plaza
Livermore Falls, ME 04254-1529
Mailing address
80 Main St
Central Plaza
Livermore Falls, ME 04254-1529
Phone (207) 897-4345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303150099 | Medicaid | ME |
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 |
|---|---|---|---|
| 12602 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1811976939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MAIN ST",
"address_2": "CENTRAL PLAZA",
"city": "LIVERMORE FALLS",
"state": "ME",
"postal_code": "042541529",
"telephone_number": "207-897-4345",
"fax_number": "207-897-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAIN ST",
"address_2": "CENTRAL PLAZA",
"city": "LIVERMORE FALLS",
"state": "ME",
"postal_code": "042541529",
"telephone_number": "207-897-4345",
"fax_number": "207-897-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CRAIG",
"middle_name": "ROGER",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "12602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303150099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore Falls, ME
- Holistic Support Services
- Roger Allen Kay, DDS
- Knapp Family Practice, LLC
- Michele Morant Knapp, DO
- Cindy Lou Ledwell
- Livermore Falls Addiction Medicine LLC
- Eric Michael Maillet
- Maine School Administrative District 36
- Maine School Administrative District 36
- Mainehealth (MaineHealth Livermore Falls Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.