DR. DEREK LEWIS


Address: 6209 W 12th St, Little Rock, AR 72204-1505
Phone: 5016635221

DR. DEREK LEWIS (NPI# 1407810641) 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) 1407810641
Entity Type Individual
Full Name DR. DEREK LEWIS
Credential M.D.
Practice Address 6209 W 12th St
Little Rock
AR 72204-1505
Practice Telephone 5016635221
Practice Fax Number 5016636759
Mailing Telephone 5016635221
Mailing Fax Number 5016636759
Enumeration Date 2006-04-14
Last Update Date 2010-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine C6631 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 110711001 05

Other Providers DEREK LEWIS

NPI Name Taxonomy Address Enumeration
1821632316 Derek J Lewis Physical Therapist 2415 Latimer Rd, Union City, TN 38261-8015 2019-10-29
1184728891 Derek Theodore Lewis Physical Therapist 201 Stevens Mill Road, Goldsboro, NC 27530 2006-09-12
1821106246 Derek Anthony Lewis Dentist 110 Lockwood Ave Suite 101, New Rochelle, NY 10801-5010 2006-08-26
1437417425 Derek R Lewis Case Manager/Care Coordinator 1303 W Walnut Pkwy, Compton, CA 90220-5030 2012-04-26

Office Location

Street Address 6209 W 12TH ST
City LITTLE ROCK
State AR
Zip Code 72204-1505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750345427 Arkansas Primary Care Clinics Pa Family Medicine 6209 W 12th St, Little Rock, AR 72204-1505 2006-04-12
1255806493 Heather Denise Mckinzie Nurse Practitioner 6209 W 12th St, Little Rock, AR 72204-1505 2018-10-03
1144691320 Regenia Carter Nurse Practitioner 6209 W 12th St, Little Rock, AR 72204-1505 2015-10-13
1134562697 Demetrius L Pighee Nurse Practitioner 6209 W 12th St, Little Rock, AR 72204-1505 2013-04-15
1376711937 Frederick Braswell Nurse Practitioner 6209 W 12th St, Little Rock, AR 72204-1505 2008-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669952966 Shane Wilson Non-emergency Medical Transport (VAN) 1522 S Tyler St, Little Rock, AR 72204 2018-08-16
1659858348 Poplar Grove Operations LLC Skilled Nursing Facility 7801 Kanis Road, Little Rock, AR 72204 2018-07-25
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1265954820 Marilyn Marie Lynch Registered Nurse 7723 Colonel Glenn Road, Little Rock, AR 72204 2017-07-14
1962852954 Arkansas Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1122 S. University Ave, Little Rock, AR 72204 2016-06-21
1841607751 Charity Gillespie Registered Nurse 5210 Timberland Dr, Little Rock, AR 72204 2014-07-14
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
1548696065 Jamie Washington Prosthetic/Orthotic Supplier 4701 Westwood Ave, Little Rock, AR 72204 2013-09-16
1124468913 Stephanie Rachelle Jez Genetic Counselor, MS 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 2013-06-26
1336492321 Alton Charles Phillips Sr. Counselor 4400shuffield Drive, Little Rock, AR 72204 2012-10-16
Find all providers in zip 72204

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932707650 Relymd Medical Group Ar, Pllc Family Medicine 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 2020-10-14
1831709997 Wound Integrity Arkansas Pa Family Medicine 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 2020-08-04
1235762816 Cynthia Johnson Family Medicine 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 2020-02-21
1801246129 John Freeland Jayroe Family Medicine 701 N University Ave Ste 100, Little Rock, AR 72205-2936 2016-06-17
1992154462 Arkansas Health Group Family Medicine 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 2016-06-06
1669867099 John Allen Cockerell Family Medicine 5423 L St, Little Rock, AR 72205-1726 2015-04-02
1831593896 James William Takach Family Medicine 14519 Wimbledon Loop, Little Rock, AR 72210 2014-10-20
1790198133 Muhammad Yusuf Family Medicine 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 2014-06-03
1598184103 Stephen A Humbard Md Pa Family Medicine 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 2014-04-10
1215360144 George Franklin Holitik Family Medicine 4617 Stonewall Rd, Little Rock, AR 72207-2053 2013-08-14
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72204

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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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