DR. JERRY WAYNE LEWIS (NPI# 1124005152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005152 |
| Entity Type | Individual |
| Full Name | DR. JERRY WAYNE LEWIS |
| Credential | MD |
| Practice Address |
5757 Warren Pkwy Suite 110 Frisco TX 75034-4274 |
| Mailing Address |
5757 Warren Pkwy Ste 110 Frisco TX 75034-4273 |
| Practice Telephone | 2146189600 |
| Practice Fax Number | 2142651457 |
| Mailing Telephone | 2146189600 |
| Mailing Fax Number | 2146187997 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
H8208 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137545311 | 05 | |
| TX | BCBS | 8A4769 | 01 |
| TX | 137545315 | 05 | |
| TX | 137545314 | 05 | |
| TX | 137545313 | 05 | |
| TX | 137545316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376178 | Jerry Lewis | Counselor | 1606r W Cherry St, Clarksville, AR 72830-2506 | 2019-09-22 |
| 1710050547 | Jerry Lewis | Technician, Other | 3041 W Avenue K, Lancaster, CA 93536-5402 | 2006-11-17 |
| 1801879341 | Jerry Lane Lewis | Physician Assistant | 9235 E Broadway St, Planada, CA 95365-8088 | 2005-11-29 |
| 1235745340 | Jerry A Lewis | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-09-23 |
| 1568744662 | Jerry Bret Lewis | Pharmacist | 4315 Centennial Blvd, Colorado Springs, CO 80907-3769 | 2011-09-14 |
| 1134234297 | Jerry Mermod Lewis IIi | Psychiatry & Neurology | 8226 Douglas Ave, Suite #805, Dallas, TX 75225-5943 | 2006-08-20 |
| Street Address |
5757 WARREN PKWY SUITE 110 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-4274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354603 | Centennial Ob Gyn Pa | Obstetrics & Gynecology | 5757 Warren Pkwy, Suite 210, Frisco, TX 75034-4274 | 2005-11-23 |
| 1760910350 | Carlton Bariatrics Pa | Surgery | 5757 Warren Pkwy, Frisco, TX 75034-4274 | 2017-05-26 |
| 1639619109 | Freedom Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2017-03-03 |
| 1225589369 | Jerry W. Lewis Md Pa | Anesthesiology | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034 | 2016-10-24 |
| 1245781822 | Centennial Ob Gyn, P.a. | Specialist | 5757 Warren Pkwy, Suite 210, Frisco, TX 75034-4274 | 2016-10-19 |
| 1396295614 | Heartbeat Anesthesia Pllc | Anesthesiology | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2016-10-11 |
| 1558818724 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 5757 Warren Pkwy, Professional Bldg II, Suite 110, Frisco, TX 75034-4274 | 2016-09-06 |
| 1114327319 | Tri Dental Pllc | Dentist | 5757 Warren Pkwy, 220, Frisco, TX 75034-4274 | 2014-08-26 |
| 1922420447 | Frisco Dental Health Center | Dentist | 5757 Warren Pkwy, Suite 220, Frisco, TX 75034 | 2014-01-17 |
| 1174892517 | Pinnacle Anesthesia Consultants Pa | Physician Assistant | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285137182 | Midtex Medical Group Pllc - Midtex Frisco Series | Anesthesiology | 5850 Town and Country Blvd Ste 101, Frisco, TX 75034-6943 | 2018-03-16 |
| 1700014826 | Frisco Spine, Pa | Anesthesiology | 8350 Dallas Pkwy Ste 300, Frisco, TX 75034-5076 | 2009-06-26 |
| 1255573739 | Douglas S Maxey | Anesthesiology | 5575 Warren Pkwy Ste 208, Frisco, TX 75034-4063 | 2009-03-31 |
| 1871791590 | Shamim Justin Badiyan | Anesthesiology | 4461 Coit Rd Ste 411, Frisco, TX 75035-0526 | 2007-07-03 |
| 1821159807 | Ross E. Dickstein Mdpc | Anesthesiology | 340 Peak One Surgery Center, County R, Frisco, CO 80443 | 2006-12-13 |
| 1669461174 | Alpine Anesthesia Associates | Anesthesiology | 719 Ten Mile Drive, Unit F, Frisco, CO 80443-5014 | 2005-10-18 |
| 1700495330 | Catholic Health Initiatives Colorado | Anesthesiology | 360 Peak One Dr Ste 300, Frisco, CO 80443-5948 | 2020-07-29 |
| 1932747334 | Novo Wellness, Pa | Anesthesiology | 5757 Warren Pkwy Ste 110, Frisco, TX 75034-4273 | 2019-12-16 |
| 1568020253 | Crescent Pain Relief Pa | Anesthesiology | 8668 John Hickman Pkwy, Frisco, TX 75034-8178 | 2019-05-29 |
| 1811461304 | Crescent Pain Relief | Anesthesiology | 8668 John Hickman Pkwy, Frisco, TX 75034-8178 | 2019-01-17 |
| Find all providers in FRISCO | ||||
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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.