Active NPI
Albert Read Lewin, M.D.
- Specialist
- Beaufort, SC
National Provider Identifier
1962455519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11027
- Practice address
- 860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921 - Phone
- (843) 986-9292
- Fax
- (843) 986-9292
- NPI assigned
- May 17, 2006
- Last updated
- Sep 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11027 | SC | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 11207 | SC | |
| Pain Medicine Physician | 208VP0000X | 11207 | SC |
Addresses
Primary practice location
860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921
Mailing address
860 Parris Island Gtwy
Suite B2
Beaufort, SC 29906-6921
Phone (843) 986-9292
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20045633 | Other | SC | SELECT HEALTH |
| P00269415 | Other | SC | RAILROAD MEDICARE |
| 202019697 | Other | SC | MULTIPLAN |
| 202019697 | Other | SC | BLUE CHOICE (COMPANION) |
| 202019697 | Other | SC | HEALTHCARE SAVINGS |
| 202019697 | Other | SC | TRICARE |
| 110276 | Medicaid | SC | |
| 202019697 | Other | SC | PREMIER HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11027 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Associates of Beaufort, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Health Center
- Surgery Physician
- Beaufort, SC
- NPI 1770552408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1962455519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 PARRIS ISLAND GTWY",
"address_2": "SUITE B2",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299066921",
"telephone_number": "843-986-9292",
"fax_number": "843-986-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 PARRIS ISLAND GTWY",
"address_2": "SUITE B2",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299066921",
"telephone_number": "843-986-9292",
"fax_number": "843-986-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "ALBERT",
"middle_name": "READ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "11027",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "SC",
"license": "11207",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "SC",
"license": "11207",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "20045633",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00269415",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "202019697",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE (COMPANION)",
"identifier": "202019697",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE SAVINGS",
"identifier": "202019697",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "202019697",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110276",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER HEALTH",
"identifier": "202019697",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.