DR. MATTHEW THOMAS LEWIS (NPI# 1205987831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205987831 |
Entity Type | Individual |
Full Name | DR. MATTHEW THOMAS LEWIS |
Credential | M.D. |
Practice Address |
1705 Christy Dr Ste. 101 Jefferson City MO 65101-5195 |
Practice Telephone | 5736350115 |
Practice Fax Number | 5736350116 |
Mailing Telephone | 5736350115 |
Mailing Fax Number | 5736350116 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | R3P66 | MO | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 206665812 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356872634 | Matthew Lewis | Student in an Organized Health Care Education/Training Program | 930 Hickman Rd, Apt. E, Augusta, GA 30904-6721 | 2017-03-27 |
1982033734 | Matthew Lewis | Specialist/Technologist | 3902 Whispering Way Se, 3, Grand Rapids, MI 49546-5877 | 2013-11-02 |
1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
1174626402 | Matthew David Lewis | Family Medicine | 20817 Highway 266, Rocky Ford, CO 81067 | 2006-09-05 |
1497799811 | Matthew M Lewis | Specialist/Technologist | 8420 Anastasia Ave, Beaumont, TX 77705-9423 | 2006-06-15 |
1881292662 | Matthew Lewis | Pharmacist | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2020-10-13 |
1851958599 | Matthew Keith Lewis | Technician | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-05-28 |
1952857880 | Matthew Lewis | Physical Therapist | 7090 Covenant Woods Dr, Mechanicsville, VA 23111-7025 | 2016-08-31 |
1275988016 | Matthew Lewis | Counselor | 2602 Victory Pkwy, Cincinnati, OH 45206-1711 | 2016-04-29 |
1457722563 | Matthew Lewis | Dietitian, Registered | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2015-10-15 |
Street Address |
1705 CHRISTY DR STE. 101 |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65101-5195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528060704 | Cmmp Surgical Center LLC | Clinic/Center | 1705 Christy Dr, Ste 100, Jefferson City, MO 65101-5195 | 2005-06-01 |
1124491345 | Sierra Binkley | Physical Therapist | 1705 Christy Dr, Ste 200, Jefferson City, MO 65101-5195 | 2015-11-10 |
1255762852 | Capital Region Medical Center | Family Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2013-12-06 |
1063757003 | Jessica Lynn Clark | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2012-12-03 |
1073868808 | Central Missouri Diagnostic Services, LLC | Clinical Medical Laboratory | 1705 Christy Dr, Suite 105, Jefferson City, MO 65101-5195 | 2012-07-18 |
1780958173 | Capital Region Medical Center | Specialist | 1705 Christy Dr, Suite 215, Jefferson City, MO 65101-5195 | 2012-03-02 |
1750691143 | David Cranston | Physical Therapist | 1705 Christy Dr, Ste. 200, Jefferson City, MO 65101-5195 | 2010-10-19 |
1023346715 | Elizabeth A Farmer | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-11-18 |
1508094251 | Donnetta Lynn Wilkerson | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-07-01 |
1457594814 | Tamara V. Hopkins, M.d., L.L.C. | Internal Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2009-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
Find all providers in zip 65101 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013050970 | Central Mo Ear, Nose, Throat, & Sinus, P.C. | Specialist | 3527 West Truman Boulevard, Suite 200, Jefferson City, MO 65109-5195 | 2007-02-14 |
1255339784 | Penny L Knight | Specialist | 120 Hospital Dr Ste 220, Jefferson City, TN 37760-5286 | 2005-07-08 |
1477556520 | Thomas K Bredeman | Specialist | 3205 Pembroke Sq, Jefferson City, MO 65109-5731 | 2005-05-23 |
1801899851 | Robert E Ferris | Specialist | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-05-23 |
1922488931 | Ssm Regional Health Services | Specialist | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2015-06-04 |
1780958173 | Capital Region Medical Center | Specialist | 1705 Christy Dr, Suite 215, Jefferson City, MO 65101-5195 | 2012-03-02 |
1033239215 | Capitol Eye Care, Inc. | Specialist | 1705 Christy Dr, Ste. 101, Jefferson City, MO 65101-5195 | 2007-03-30 |
1871643494 | James Gerard Luetkemeyer | Specialist | 1705 Christy Dr, Ste. 101, Jefferson City, MO 65101-5195 | 2007-01-12 |
1033291661 | Hill Rehab & Manual Therapy, LLC | Specialist | 1433 Christy Dr, Suite 3, Jefferson City, MO 65101-2877 | 2006-10-20 |
1497735724 | John J Waddell | Specialist | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-01-20 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 65101 |
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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.