Dennis M. Lewis MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5754A Issued in WY

Legal business name

DENNIS M. LEWIS MD PA

Practice address

1005 College View Dr
Riverton, WY 82501-2266

Phone

(307) 857-5220

Fax

(307) 857-5215

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dennis M Lewis, MD

Title

Ceo

Phone

(307) 857-5220

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5036/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Christine Gabel, PA-C

  • Physician Assistant
  • Gaylord, MI
  • NPI 1821038217
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1851336580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-857-5220",
            "fax_number": "307-857-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-857-5220",
            "fax_number": "307-857-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M. LEWIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-857-5220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WY",
            "license": "5754A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120966300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Davis
• Thomas Davis, MPT
• Akiko Kokubo Dean
• Talitha Delancey, PT
• Amanda Michelle Denevan
• Dental Care of Fremont County
• Dallon Jay Dewey
• Mackenzie Rae Dickinson
• Aaron Deane Donaldson, DPM
• Austin Alan Dopp

• Surgery Physician in Riverton, WY
• Providers in Riverton, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.