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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002016 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124677794 | Bruce Lewis | Occupational Therapy Assistant | 7 Cross St, Bridgeport, OH 43912-1435 | 2019-09-06 |
1538238050 | Bruce E Lewis | Internal Medicine | 2160 S First Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | 2006-11-07 |
1972530038 | Bruce Jay Lewis | Pathology | 243 Elm St, Claremont, NH 03743-2005 | 2006-06-26 |
Street Address |
2719 PULASKI HWY |
City | EDGEWOOD |
State | MD |
Zip Code | 21040-1315 |
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 |
Find all providers in zip 21040 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.