Organization Active NPI

Todd J. Lewis, MD, PC

  • Orthopaedic Surgery Physician
  • Corvallis, OR
National Provider Identifier
1972700664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
13887 Issued in OR
Legal business name
TODD J. LEWIS, MD, PC
Practice address
2211 NW Professional Dr
Ste 100
Corvallis, OR 97330-3891
Phone
(541) 757-7463
Fax
(541) 757-7465
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Jay Lewis, M.D.
Title
President
Phone
(541) 757-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 13887 OR Primary

Addresses

Primary practice location

2211 NW Professional Dr
Ste 100
Corvallis, OR 97330-3891

Mailing address

2211 NW Professional Dr
Ste 100
Corvallis, OR 97330-3891
Phone (541) 757-7463

Other identifiers 1

IdentifierTypeStateIssuer
1295779734OtherORNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972700664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NW PROFESSIONAL DR",
            "address_2": "STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303891",
            "telephone_number": "541-757-7463",
            "fax_number": "541-757-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NW PROFESSIONAL DR",
            "address_2": "STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303891",
            "telephone_number": "541-757-7463",
            "fax_number": "541-757-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD J. LEWIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-757-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "13887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295779734",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.