Organization Active NPI

Lewis & Wakefield, PLLC

Doing business as Jenks Family Physicians

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1962628339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEWIS & WAKEFIELD, PLLC
Doing business as
Jenks Family Physicians
Practice address
615 E Main St
Jenks, OK 74037-4138
Phone
(918) 299-8080
Fax
(918) 298-2838
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian H Lewis, DONPI 1588748339
Title
Physician
Phone
(918) 299-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OK Primary

Addresses

Primary practice location

615 E Main St
Jenks, OK 74037-4138

Mailing address

615 E Main St
Jenks, OK 74037-4138
Phone (918) 299-8080

Other identifiers 2

IdentifierTypeStateIssuer
200058160BMedicaidOK
200058160COtherOKO-EPIC

Other names 1

  • Jenks Family Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524001270 OK Part B Supplier - Clinic/Group Practice 8729020367 Receives reassigned benefits from 4 practitioners
Practice locations: Jenks, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1039989Jenks Family Physicians615 East Main, Jenks, OK 74037Provider-performed microscopyApr 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962628339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374138",
            "telephone_number": "918-299-8080",
            "fax_number": "918-298-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374138",
            "telephone_number": "918-299-8080",
            "fax_number": "918-298-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & WAKEFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-299-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058160B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "O-EPIC",
            "identifier": "200058160C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenks Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.