DR. KENNETH SCOTT LEWIS (NPI# 1154505519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505519 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SCOTT LEWIS |
| Credential | MD |
| Practice Address |
106 Bow Street Elkton MD 21921 |
| Practice Telephone | 4103927009 |
| Practice Fax Number | 4106201494 |
| Mailing Telephone | 4103927009 |
| Mailing Fax Number | 4106201494 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C1-0001534 | DE | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | D0019043 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 460701500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1306311840 | Kenneth Paul Lewis | Massage Therapist | 3220 17th St Nw # 10, Washington, DC 20010-2135 | 2018-10-11 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1154709350 | Kenneth Lewis | Counselor | 4323 142nd Pl Se, Snohomish, WA 98296-7646 | 2015-05-08 |
| 1629204649 | Kenneth Robert Lewis | Case Manager/Care Coordinator | 9412 W 5th Pl, Kennewick, WA 99336-9603 | 2009-06-04 |
| 1871505529 | Kenneth Dwayne Lewis | Dentist | 1149 E 42nd St, Odessa, TX 79762-7723 | 2006-08-12 |
| 1023097870 | Kenneth B Lewis | Dentist | 4140 Ramsey St, Fayetteville, NC 28311-7658 | 2006-01-11 |
| 1285299081 | Kenneth Lewis | Case Manager/Care Coordinator | 10001 Lake Forest Blvd Ste 607, New Orleans, LA 70127-6201 | 2019-05-07 |
| 1578028486 | Kenneth Lewis | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-05 |
| 1952751315 | Kenneth Bryant Lewis | General Practice | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-06-16 |
| Street Address |
106 BOW STREET |
| City | ELKTON |
| State | MD |
| Zip Code | 21921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841279858 | Herminio Franquiz Jr. | Physician Assistant | 106 Bow Street, Elkton, MD 21921 | 2006-01-10 |
| 1205093804 | Theodora Adadzewa Fynn | Internal Medicine | 106 Bow Street, Union Hospital of Cecil County, Elkton, MD 21921 | 2008-05-21 |
| 1861581969 | Denise Lano | Physician Assistant | 106 Bow Street, Elkton, MD 21921 | 2006-10-12 |
| 1649382615 | Jill K Brooks | Radiology | 106 Bow Street, Elkton, MD 21921 | 2006-08-31 |
| 1669584637 | Rino Se Chaun Un | Radiology | 106 Bow Street, Elkton, MD 21921 | 2006-08-31 |
| 1083726053 | Horatio Yeung | Radiology | 106 Bow Street, Elkton, MD 21921 | 2006-08-31 |
| 1568441582 | Laura Stone Ellis | Emergency Medicine | 106 Bow Street, Elkton, MD 21921 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356866032 | Delaware Medicine & Obgyn LLC | Internal Medicine | 300 E Pulaski Hwy Ste 113b, Elkton, MD 21921-6737 | 2017-08-03 |
| 1215921788 | Jayantilal K Patel | Internal Medicine | 123 Singerly Ave, Elkton, MD 21921-5523 | 2005-09-09 |
| 1255338869 | Muhammed Arif Niaz | Internal Medicine | 107 N Bridge St, Elkton, MD 21921-5326 | 2005-06-29 |
| 1922598929 | Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2018-05-15 |
| 1194276063 | Madeeha Abdul Ghaffar | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2016-10-17 |
| 1225588569 | Mid-atlantic Institute of Venous and Lymphatic Medicine LLC | Internal Medicine | 300 E Pulaski Hwy, Suite 101b, Elkton, MD 21921-6737 | 2016-10-11 |
| 1962853457 | Baltej Singh | Internal Medicine | 106 Bow St, Elkton, MD 21921 | 2016-06-26 |
| 1457642068 | Maryland Skin Care Centers LLC | Internal Medicine | 216 E Pulaski Hwy, 125, Elkton, MD 21921-6497 | 2011-04-29 |
| 1962734079 | Manpreet K Sidhu | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2010-02-01 |
| 1710134739 | Vinal Jain | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2008-08-20 |
| Find all providers in ELKTON | ||||
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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.