Randall S Lewis, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD10258 Issued in OR

Practice address

2121 Kimberly Cir
Eugene, OR 97405-5821

Phone

(541) 654-1545

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1881661528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51270",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050905",
            "telephone_number": "541-654-1545",
            "fax_number": "541-687-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KIMBERLY CIR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974055821",
            "telephone_number": "541-654-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD10258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242065",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ruth Lewis
• Kayla Marie Lewis
• Lauren Lewis, LMT
• Mary M Lewis, RPH
• Matthew William Lewis, M.D.
• Rebecca Lewis
• Robin Alana Lewis, MA, LPC, LMFT
• Mary Cameron Leyda, PMHNP-BC
• LGS Operating Company
• LGS Operating Company

• Gynecology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.