GRADY LEWIN (NPI# 1073959045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073959045 |
| Entity Type | Individual |
| Full Name | GRADY LEWIN |
| Credential | BOCP, CFO |
| Practice Address |
40 North St Suite 6 Presque Isle ME 04769-2287 |
| Practice Telephone | 2077623808 |
| Practice Fax Number | 2077623809 |
| Mailing Telephone | 2077623808 |
| Mailing Fax Number | 2077623809 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
40 NORTH ST SUITE 6 |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568696979 | Yvette Pratt | Prosthetist | 40 North St, Suite 6, Presque Isle, ME 04769-2287 | 2009-05-13 |
| 1912196718 | Cory Laplante | Prosthetic/Orthotic Supplier | 40 North St, Suite E, Presque Isle, ME 04769-2269 | 2007-10-17 |
| 1548341704 | Donna L Gallant | Specialist | 40 North St, Suite 6, Presque Isle, ME 04769-2269 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223606 | Debra R Porter | Specialist | 37 Ocean St, South Portland, ME 04106-2827 | 2019-06-12 |
| 1447426572 | Lucille Annette Wilkins | Specialist | 9 Old Portland Rd, Brunswick, ME 04011-7203 | 2008-05-08 |
| 1124683065 | Antoinette Smothers | Specialist | 26 Forest Ave, Portland, ME 04101-2812 | 2019-05-07 |
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on GRADY LEWIN.
| 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.