Active NPI
Steven Lionell Lewis Jr., PA-S
- Medical Physician Assistant
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA169855
- Practice address
- 2485 12TH St SE
Salem, OR 97302-2151 - Phone
- (503) 363-8047
- Fax
- (503) 363-6571
- NPI assigned
- Nov 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Medical Physician Assistant | 363AM0700X | PA169855 | OR | Primary |
Addresses
Primary practice location
2485 12TH St SE
Salem, OR 97302-2151
Mailing address
2485 12TH St SE
Salem, OR 97302-2151
Phone (503) 363-8047
Other names 1
- Steve Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640
5100 River Rd N
Keizer, OR 97303-5371
Phone (503) 393-2533
665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA169855 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients |
Locations
5100 River Rd N
Keizer, OR 97303
Phone (503) 393-2533
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
2485 12th St SE
Salem, OR 97302
Phone (503) 363-8047
Interoperability endpoints
- slewis175087@direct.salemhealth.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1861794893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 12TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022151",
"telephone_number": "503-363-8047",
"fax_number": "503-363-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 12TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022151",
"telephone_number": "503-363-8047",
"fax_number": "503-363-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STEVEN",
"middle_name": "LIONELL",
"name_suffix": "Jr.",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA169855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "LEWIS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.