Philip Alden Lewis Jr., D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

POD 209 Issued in ME

Practice address

2300 Ramsey St
VA Medical Center (112)
Fayetteville, NC 28301-3856

Phone

(910) 822-7131

Fax

(910) 822-7035

NPI assigned

Jun 22, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1942206255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TWIN PONDS LN",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949266",
            "telephone_number": "901-822-7131",
            "fax_number": "910-822-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "address_2": "VA MEDICAL CENTER (112)",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-822-7131",
            "fax_number": "910-822-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PHILIP",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "ME",
            "license": "POD 209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bryant Lewis, D.O.
• Lauryn Kay Lewis, PHARMD
• Makenzie Wise Lewis, LBA
• Miesha Lewis
• Nijia Lewis
• Somonia M Lewis, LCSW
• Trunette Lewis
• Victoria Lewis
• Yvonne W Lewis, PA-C
• Sarah Leyhew, A.G.N.P.-C

• Foot Surgery Podiatrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Foot Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.