Active NPI
Kathryn M. Lewis, M.D., P.a.
- Radiation Oncology Physician
- Nacogdoches, TX
National Provider Identifier
1861673063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- H0564
- Legal business name
- KATHRYN M. LEWIS, M.D., P.A.
- Practice address
- 4920 NE Stallings Dr
Nacogdoches, TX 75965-1254 - Phone
- (936) 568-3541
- Fax
- (936) 568-3390
- NPI assigned
- Nov 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Marie Lewis, M.D.
- Title
- President
- Phone
- (936) 568-3541
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | H0564 | TX | Primary |
Addresses
Primary practice location
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Mailing address
PO Box 6325
Kingwood, TX 77325-6325
Phone (281) 360-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032010301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Nacogdoches, TX
- NPI 1215920640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1861673063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6325",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773256325",
"telephone_number": "281-360-5400",
"fax_number": "281-548-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-568-3541",
"fax_number": "936-568-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHRYN M. LEWIS, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-568-3541",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "H0564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032010301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.