Active NPI
Jeffrey W Lewis MD PA
- Surgery Physician
- Fort Myers, FL
National Provider Identifier
1912961301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME53401
- Legal business name
- JEFFREY W LEWIS MD PA
- Practice address
- 16400 Healthpark Commons Drive
Fort Myers, FL 33908-9621 - Phone
- (239) 278-5200
- Fax
- (239) 278-4243
- NPI assigned
- Apr 13, 2006
- Last updated
- Dec 3, 2012
- 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
- Jeffrey W Lewis, MD
- Title
- President
- Phone
- (239) 278-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME53401 | FL | Primary |
Addresses
Primary practice location
16400 Healthpark Commons Drive
Fort Myers, FL 33908-9621
Mailing address
16400 Healthpark Commons Drive
Fort Myers, FL 33908-9621
Phone (239) 278-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049245100 | Medicaid | FL | |
| A003 | Other | FL | TRICARE |
| 020011787 | Other | FL | RAILROAD MEDICARE |
| 07160 | Other | FL | BCBS |
Other names 1
- Lewis & Knight MD PA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Fort Myers, FL
- NPI 1144436510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1912961301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 HEALTHPARK COMMONS DRIVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089621",
"telephone_number": "239-278-5200",
"fax_number": "239-278-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16400 HEALTHPARK COMMONS DRIVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089621",
"telephone_number": "239-278-5200",
"fax_number": "239-278-4243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY W LEWIS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-278-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME53401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049245100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A003",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020011787",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07160",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lewis & Knight MD PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.