Organization Active NPI

Carlton J Lewis DO PA

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1881764728
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3304 Issued in TX
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Carlton J Lewis, DONPI 1902893928
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20051129001030 TX Part B Supplier - Clinic/Group Practice 5890715320 Receives reassigned benefits from 2 practitioners
Practice locations: Corrigan, TX; Lufkin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0979353Carlton J Lewis DO PA10 Medical Ctr Blvd Suite I, Lufkin, TX 75904Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.