Lewisville Internal Medicine Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEWISVILLE INTERNAL MEDICINE ASSOCIATES PLLC

Practice address

2800 Shoreline Way
Lewisville, TX 75056-4162

Phone

(860) 919-9636

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Saji John, M.D.

Title

President

Phone

(860) 919-9636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1952691271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851323",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851323",
            "telephone_number": "972-216-9511",
            "fax_number": "972-216-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SHORELINE WAY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564162",
            "telephone_number": "860-919-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE INTERNAL MEDICINE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-919-9636",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.