NPIMap

Organization Active NPI

Thomas L Lewellen DO PA

  • Family Medicine Physician
  • Dumas, AR
National Provider Identifier
1881848455
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMAS L LEWELLEN DO PA
Practice address
105 W Waterman St
Dumas, AR 71639-2139
Phone
(870) 382-1188
Fax
(870) 382-4049
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Thomas L Lewellen Sr., DONPI 1871679001
Title
Physician
Phone
(870) 382-1188

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR Primary

Addresses

Primary practice location

105 W Waterman St
Dumas, AR 71639-2139

Mailing address

105 W Waterman St
PO Box 128
Dumas, AR 71639-2139
Phone (870) 382-1188

National Provider Directory

National Provider Directory

Locations

105 W Waterman St
Dumas, AR 71639
Phone (870) 382-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1881848455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W WATERMAN ST",
            "address_2": "PO BOX 128",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392139",
            "telephone_number": "870-382-1188",
            "fax_number": "870-382-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W WATERMAN ST",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392139",
            "telephone_number": "870-382-1188",
            "fax_number": "870-382-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L LEWELLEN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "LEWELLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-382-1188",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.