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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | C6631 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 110711001 | 05 |
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 |
Street Address |
6209 W 12TH ST |
City | LITTLE ROCK |
State | AR |
Zip Code | 72204-1505 |
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 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | LITTLE ROCK |
Zip Code | 72204 |
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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.