MR. SAMUEL GRADY LEWIS (NPI# 1376735415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376735415 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL GRADY LEWIS |
| Credential | RTR,RPA,RA,CBRPA |
| Practice Address |
308 Fairview Ave Ponca City OK 74601-2001 |
| Practice Telephone | 5807659588 |
| Practice Fax Number | 5807621367 |
| Mailing Telephone | 5807659588 |
| Mailing Fax Number | 5807621367 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497216600 | Samuel Watson Lewis | Specialist/Technologist | 2414 Democracy Dr, Buford, GA 30519-8050 | 2019-03-29 |
| 1033268578 | Samuel Lewis | Nuclear Medicine | 11335 Altamont Dr, Frisco, TX 75034-1182 | 2007-01-10 |
| 1427482686 | Samuel B. Lewis | Physical Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2013-08-23 |
| 1952591943 | Samuel Caine Lewis | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-07-26 |
| 1316048234 | Samuel Jay Lewis | Pediatrics | 15 Altarinda Rd, Suite 100, Orinda, CA 94563-2607 | 2006-09-25 |
| 1386649119 | Samuel V Lewis | Obstetrics & Gynecology | 301 Med Tech Pkwy, Ste 200, Johnson City, TN 37604-2364 | 2005-06-17 |
| Street Address |
308 FAIRVIEW AVE |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173698 | Kevin Milam | Radiologic Technologist | 806 S Harvey St, Coalgate, OK 74538-3818 | 2013-06-06 |
| 1417073271 | Sharon Gerards | Radiologic Technologist | 14 Juel Dr, Shawnee, OK 74804-3302 | 2007-03-22 |
| 1932256476 | Phillip Lee Kizzia | Radiologic Technologist | 347 S 37th St, Muskogee, OK 74401-4906 | 2007-01-05 |
| 1861564874 | Health Link Mobile X-ray LLC | Radiologic Technologist | 1918 Indian Dr, Enid, OK 73703 | 2006-11-14 |
| 1780777417 | Cbs Mobile Xra & Ekg | Radiologic Technologist | 4505 Copperwood, Duncan, OK 73533 | 2006-10-02 |
| 1922011121 | Contract Xray Services Inc | Radiologic Technologist | 8181 E 46th St, Tulsa, OK 74145-4801 | 2006-08-15 |
| 1134661887 | Rhonda Phillips | Radiologic Technologist | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-11-12 |
| 1316382930 | Norman Regional Health System | Radiologic Technologist | 901 N Porter Ave, Norman, OK 73071-6404 | 2013-05-09 |
| 1639399124 | Susan Jones Castillo | Radiologic Technologist | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2007-04-26 |
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on MR. SAMUEL GRADY LEWIS.
| 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.