DR. KEVIN AUSTIN LEWIS (NPI# 1053419051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053419051 |
Entity Type | Individual |
Full Name | DR. KEVIN AUSTIN LEWIS |
Credential | DDS |
Practice Address |
1 Medical Center Drive Clarksburg WV 26301 |
Mailing Address |
Rr 5 Box 579 Clarksburg WV 26301-9323 |
Practice Telephone | 3046237640 |
Mailing Telephone | 3047455215 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
WV3398 | WV | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548593239 | Kevin Dale Lewis | Chiropractor | 753 Sw 11th St Apt A, Redmond, OR 97756-2632 | 2009-09-11 |
1184780603 | Kevin L Lewis | Dentist | 3900 Bristol Hwy # B-14, Johnson City, TN 37601-1378 | 2006-12-29 |
1245331487 | Kevin S Lewis | Physician Assistant | 120 10th St Sw, Puyallup, WA 98371-5308 | 2006-09-26 |
1396846242 | Kevin Lewis | Nurse Practitioner | 601 5th St S Ste 502, St Petersburg, FL 33701-4804 | 2006-09-25 |
1790304772 | Kevin Lewis | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2020-04-10 |
1841831955 | Kevin Peter Lewis | Nurse Anesthetist, Certified Registered | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2019-10-01 |
1730642570 | Kevin Lewis | Behavior Technician | 10370 Battleview Pkwy, Manassas, VA 20109-2338 | 2019-04-09 |
1275025637 | Kevin L Lewis | Marriage & Family Therapist | 4299 Middle Settlement Rd, New Hartford, NY 13413-5329 | 2018-06-01 |
1962917088 | Kevin Patrick Lewis | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104 | 2017-12-12 |
1821514571 | Kevin K Lewis | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2017-08-15 |
Street Address |
1 MEDICAL CENTER DRIVE |
City | CLARKSBURG |
State | WV |
Zip Code | 26301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900457 | John Edward Damm | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2005-05-29 |
1396358461 | Karene Teresa Moses | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301-3859 | 2020-08-28 |
1437760964 | Lindsay M Pomp | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301 | 2020-08-10 |
1174084735 | Brianna Godfrey | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-03-27 |
1477018695 | Emma Elizabeth Cogar | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-02-01 |
1528539285 | Elizabeth Ann Masters | Nurse Practitioner | 1 Medical Center Drive, Clarksburg, WV 26301 | 2018-12-06 |
1407321748 | Maureen Gallagher Russell | Physician Assistant | 1 Medical Center Drive, Behavioral Health Department, Clarksburg, WV 26301 | 2018-10-12 |
1851806178 | Paul Jerome Robrecht Jr. | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-12-08 |
1265943856 | Amanda Marie Dent | Dietitian, Registered | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-10-23 |
1154848554 | Katrina Louise Durst | Pharmacist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
Find all providers in zip 26301 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831629161 | Tyler Patrick Brown | Dentist | 2017 E Pike St, Clarksburg, WV 26301-6013 | 2017-06-19 |
1598147480 | Amy Linn Governor | Dentist | 250 Emily Dr, Clarksburg, WV 26301-5500 | 2015-06-26 |
1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
1083803498 | Stephen Boyd Broughton | Dentist | 117 1/2 Nicholas St, Clarksburg, WV 26301 | 2007-10-22 |
1972622496 | Jerry N Falk | Dentist | 15 Carrs Tavern Rd, Clarksburg, NJ 08510-1505 | 2007-03-28 |
1265501142 | Thomas Edward Condron | Dentist | 234 Court St, Clarksburg, WV 26301 | 2006-11-07 |
1851485668 | John Matthew Williams | Dentist | 23401 Frederick Rd, Clarksburg, MD 20871-9705 | 2006-10-03 |
1891895330 | Michael Anthony Hazey II | Dentist | 720 E Pike St, Clarksburg, WV 26301-2240 | 2006-09-24 |
1326143207 | Frank William Angotti | Dentist | 604 Rosebud Plaza, Clarksburg, WV 26301 | 2006-09-14 |
1619917135 | Kelley Elaine Heal-ortiz | Dentist | 432 W Main St, Clarksburg, WV 26301-2817 | 2006-06-07 |
Find all providers in CLARKSBURG |
City | CLARKSBURG |
Zip Code | 26301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.