Organization Active NPI

Steven M Lewis MD SC

  • Specialist
  • Geneva, IL
National Provider Identifier
1861664674
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036057142 Issued in IL
Legal business name
STEVEN M LEWIS MD SC
Practice address
1725 South St
Geneva, IL 60134-2584
Phone
(630) 232-6111
Fax
(630) 232-6175
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Steven M Lewis, M.D.
Title
President
Phone
(630) 232-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036057142 IL Primary

Addresses

Primary practice location

1725 South St
Geneva, IL 60134-2584

Mailing address

1725 South St
Geneva, IL 60134-2584
Phone (630) 232-6111

Other identifiers 2

IdentifierTypeStateIssuer
036057142MedicaidIL
4525829OtherILBLUE CROSS BLUE SHIELD ILLINOI

National Provider Directory

National Provider Directory

Locations

1725 South St
Geneva, IL 60134
Phone (630) 232-6111

1725 South St
Ste A
Geneva, IL 60134
Phone (630) 232-6111

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1861664674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SOUTH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342584",
            "telephone_number": "630-232-6111",
            "fax_number": "630-232-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SOUTH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342584",
            "telephone_number": "630-232-6111",
            "fax_number": "630-232-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M LEWIS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-232-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036057142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057142",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ILLINOI",
            "identifier": "4525829",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.