MR. BRUCE DONALD LEWIS JR.


Address: 2719 Pulaski Hwy, Edgewood, MD 21040-1315
Phone: 4106120374

MR. BRUCE DONALD LEWIS JR. (NPI# 1205995578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205995578
Entity Type Individual
Full Name MR. BRUCE DONALD LEWIS JR.
Credential PA-C
Practice Address 2719 Pulaski Hwy
Edgewood
MD 21040-1315
Mailing Address 1005 Starboard Ct
Edgewood
MD 21040-1340
Practice Telephone 4106120374
Mailing Telephone 4106122178
Enumeration Date 2006-12-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0002016 MD Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2719 PULASKI HWY
City EDGEWOOD
State MD
Zip Code 21040-1315

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275028458 Alycia Covelly Counselor 2415 Willoughby Beach Rd, Edgewood, MD 21040 2018-06-29
1558885491 Kenneth J Heil Jr. Physical Therapist 1401f Pulaski Highway, Edgewood, MD 21040 2017-08-02
1952845810 Caroline Njane Registered Nurse 835 Clover Leaf Ct, Edgewood, MD 21040 2016-12-12
1003368945 Rts Edgewood Clinic/Center 2205 Pulaski Hwy, Edgewood, MD 21040 2016-10-26
1194133033 Dante Winter Pharmacist 1301 Woodbridge Center Way, Edgewood, MD 21040 2014-07-23
1841469723 Rafiq Patel M D P A General Practice 1952 Pulaski Highway, Edgewood, MD 21040 2008-02-26
1871793877 Nichols Shelter Home for Elderly Health Maintenance Organization 1111 Hanson Rd., Edgewood, MD 21040 2007-07-19
1467505362 William N Bernhard Preventive Medicine 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 2007-01-22
1417006503 Phoenix Recovery Center Inc Clinic/Center 107 Edgewood Rd, Edgewood, MD 21040 2007-01-09
1093886848 Fernando Jose Narava Dentist 9690 Deereco, Suite 120, Timonium, MD 21040 2006-11-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295194629 Ryan Grange Physician Assistant 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 2016-02-12
1689795320 Danielle Roberts Physician Assistant 51 Mercedes Way, Edgewood, NY 11717-8368 2007-04-02
1366539652 Suzanne Michelle Fernbach Physician Assistant 560 S Loop Rd, Edgewood, KY 41017-3405 2006-10-06
1144265745 Kristina Holtzapfel Physician Assistant 560 S Loop Rd, Edgewood, KY 41017-3405 2006-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336767227 Merlyn Angella Boakai Physician Assistant 800 Sero Pine Ln, Fort Washington, MD 20744-5954 2020-07-08
1831730878 Jennifer Bacher Physician Assistant 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 2019-10-01
1831747971 Miriam Noelle Meiser Physician Assistant 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 2019-09-02
1285296913 Mary Furda Physician Assistant 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 2019-07-02
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1467012369 Molly Uebele Harrigan Physician Assistant 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 2019-06-13
1558834234 Kevin Timothy Johnson Physician Assistant 411 Naylor Mill Rd, Salisbury, MD 21801-1191 2019-01-06
1093287260 Carolina Radzyminska Johnson Physician Assistant 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 2018-12-27
1962971309 Emmy L Estrada Physician Assistant 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 2018-11-14
1982170833 Barbara Argyros Physician Assistant 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 2018-10-18
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Competitor

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City EDGEWOOD
Zip Code 21040

Improve Information

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Dataset Information

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.

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