RONALD J LEWIS


Address: 912 Oxford Dr, St Augustine, FL 32084-1807
Phone: 8599679758

RONALD J LEWIS (NPI# 1326080391) 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) 1326080391
Entity Type Individual
Full Name RONALD J LEWIS
Credential MD
Practice Address 912 Oxford Dr
St Augustine
FL 32084-1807
Practice Telephone 8599679758
Mailing Telephone 8599679758
Enumeration Date 2006-06-12
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 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME46177 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK MD48081 05

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Office Location

Street Address 912 OXFORD DR
City ST AUGUSTINE
State FL
Zip Code 32084-1807

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NPI Name Taxonomy Address Enumeration
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1558841684 Kevin D Roberts Psychologist 20 First Street Apt 5, St. Augustine, FL 32084 2018-08-17
1568954576 Gwendolyn Marie Spong Nurse Practitioner 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 2018-06-05
1770940116 Marian L. Turner-sharpton, Lcsw Social Worker 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 2016-01-15
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1497154520 Suzanne Smith Weed Nurse Practitioner 32 Mulberry Street, Saint Augustine, FL 32084 2014-08-14
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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Competitor

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City ST AUGUSTINE
Zip Code 32084

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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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