Active NPI
Carlton J Lewis DO PA
- Family Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3304
- Legal business name
- CARLTON J LEWIS DO PA
- Practice address
- 10 Medical Center Blvd
Ste I
Lufkin, TX 75904 - Phone
- (936) 699-3161
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 12, 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
- Carlton J Lewis, DO
- Title
- Physician
- Phone
- (936) 699-3161
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3304 | TX | Primary |
Addresses
Primary practice location
10 Medical Center Blvd
Ste I
Lufkin, TX 75904
Mailing address
10 Medical Center Blvd
Ste I
Lufkin, TX 75904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0979353 | Carlton J Lewis DO PA | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
103 E Hospital St
Corrigan, TX 75939
Phone (936) 398-5858
10 Medical Center Blvd
Ste I
Lufkin, TX 75904
Phone (936) 699-3161
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CGAGBD
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1902893928
-
- Family Nurse Practitioner
- Lufkin, TX
- NPI 1942885777
-
- Family Nurse Practitioner
- Lufkin, TX
- NPI 1306975008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1881764728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEDICAL CENTER BLVD",
"address_2": "STE I",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEDICAL CENTER BLVD",
"address_2": "STE I",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904",
"telephone_number": "936-699-3161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLTON J LEWIS DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "CARLTON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "936-699-3161",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K3304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.