Lisa Jo Lewis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD22810 Issued in OR

Practice address

2075 NE Wyatt CT
Bend, OR 97701-7686

Phone

(541) 383-3300

Fax

(541) 383-4102

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Partners in Care, Inc

  dba Partners In Care Hospice, Inc

  • Community Based Hospice Care Agency
  • Bend, OR
  • NPI 1336567585
  Medicare reassignment NPD
• Ponderosa Medical

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1710931274
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1962486621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-383-3300",
            "fax_number": "541-383-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-383-3300",
            "fax_number": "541-383-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287076",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lewis, MD
• Drew D Lewis, D.O.
• E. Winter Lewis, OD
• Gayle O. Lewis, MA
• Jessica Anne Lewis
• Maggie C Lewis, LMT
• Marc Grayson Lewis, RN, BSN, CARN, QMHP
• Megan Marie Lewis, APRN
• Russell Shepherd Lewis Jr., M.D.
• Sarah Hanigan Lewis

• Internal Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.