JACK COVINGTON LEWIS (NPI# 1396013413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396013413 |
| Entity Type | Individual |
| Full Name | JACK COVINGTON LEWIS |
| Credential | M.D. |
| Practice Address |
1100 Woodland Rd Salisbury MD 21801-6730 |
| Practice Telephone | 4107428679 |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2011-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0006783 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1629399100 | Jack Bernard Lewis Jr. | Social Worker | 102 Landing Dr, Woodbury, NJ 08096-6845 | 2010-06-18 |
| 1790780641 | Jack William Lewis | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2005-06-16 |
| 1881168789 | Jack Lewis | Student in an Organized Health Care Education/Training Program | 201 Reinhardt Dr, Lafayette, LA 70506-4252 | 2019-01-14 |
| 1568470433 | Jack Dennis Lewis | Dentist | 1770 E Lambert Rd, #220, Brea, CA 92821-8005 | 2006-08-04 |
| 1396706487 | Jack Byron Lewis | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504-5589 | 2006-03-29 |
| Street Address |
1100 WOODLAND RD |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548483332 | James William Isaacs | General Practice | 106 Circle Ave, Suite 100, Salisbury, MD 21801-4944 | 2007-04-10 |
| 1053476739 | Louis Hosfield Himes II | General Practice | 410 Rolling Rd, Salisbury, MD 21801-7115 | 2006-12-24 |
| 1396780805 | Carville Joseph Tolson IIi | General Practice | 1315 S Main St, Salisbury, NC 28144-6427 | 2006-06-18 |
| 1871593251 | David Norman Russell | General Practice | 628 W Innes St, Salisbury, NC 28144-4143 | 2005-07-28 |
| 1043513658 | Nevins Woodcock Todd Jr. | General Practice | 108 East Main Street, Salisbury, MD 21801 | 2010-12-21 |
| 1245545235 | Nicole Lynn Merritt | General Practice | 106 Milford Street, Suite 201, Salisbury, MD 21804-6959 | 2010-08-13 |
| 1457311151 | Michael Frederick Tenholder | General Practice | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490950 | Arlene Elizabeth George | General Practice | 1500 W Perimeter Rd Ste 4350, Jb Andrews, MD 20762-6604 | 2020-09-04 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1548889447 | Canary Doctor LLC | General Practice | 8904 Maxwell Dr, Potomac, MD 20854-3124 | 2020-04-10 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1881239838 | Avicention LLC | General Practice | 350c Fortune Ter # 227, Potomac, MD 20854-2980 | 2019-11-14 |
| 1972148963 | My Primary Care | General Practice | 826 Washington Rd Ste 110, Westminster, MD 21157-5779 | 2019-11-13 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1720623242 | Assured Access Medical Associates Inc. | General Practice | 7221 Hanover Pkwy Ste C, Greenbelt, MD 20770-2022 | 2019-11-07 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACK COVINGTON 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.