ROGER A LEWIS (NPI# 1508981291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508981291 |
| Entity Type | Organization |
| Organization Name | ROGER A LEWIS |
| Other Organization Name | CRANBERRY MEDICAL CLINIC |
| Practice Address |
603b W State Ave Terra Alta WV 26764-1223 |
| Practice Telephone | 3047892457 |
| Practice Fax Number | 3047896812 |
| Mailing Telephone | 3047892457 |
| Mailing Fax Number | 3047896812 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | NORMA KEIM (OFFICE MANAGER) |
| Authorized Official Telephone | 3047892457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12705 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0201807000 | 05 | |
| WV | MEDICARE RAILROAD | CM7276 | 01 |
| Other Name | Type Code |
|---|---|
| Cranberry Medical Clinic | Doing Business As Name - Organization |
| Street Address |
603B W STATE AVE |
| City | TERRA ALTA |
| State | WV |
| Zip Code | 26764-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568411858 | Roger A Lewis | Family Medicine | 603b W State Ave, Terra Alta, WV 26764-1223 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366778318 | Seegee Michele Bachtel | Physical Therapist | 1779 Alpine Lake Road, Terra Alta, WV 26764 | 2009-10-27 |
| 1639344013 | Greggs Pharmacy Wv Inc | Durable Medical Equipment & Medical Supplies | 101 Gregg Memorial Drive, Terra Alta, WV 26764 | 2008-04-25 |
| 1386894780 | Thomas Franklin Henline Jr. | Pharmacist | 101 Gregg Memorial Drive, Terra Alta, WV 26764 | 2008-09-23 |
| 1255631404 | Cross Trainers Chiropractic and Wellness Center | Chiropractor | 31454 Veterans Memorial Hwy, Terra Alta, WV 26764-0000 | 2010-10-21 |
| 1619969722 | Terra Alta Community Ambulance | Ambulance | 1124 E State Ave, Terra Alta, WV 26764-1465 | 2005-08-16 |
| 1144349358 | Terra Alta Community Amulance Squad | Ambulance | 1124 E State Ave, Terra Alta, WV 26764-1465 | 2007-03-28 |
| 1679638647 | Rescare | Intermediate Care Facility, Mentally Retarded | 101 Eastview Dr, Terra Alta, WV 26764-2002 | 2006-12-27 |
| 1497366595 | Peggy Sue Funk | Technician | 105 4th St Lot 11, Terra Alta, WV 26764-2005 | 2020-08-12 |
| 1205447463 | Heather Raynae Rosenberger | Technician | 371 Ash Pole Rd, Terra Alta, WV 26764-6113 | 2020-08-12 |
| 1982215018 | Linda Nine | Technician | 575 Bucklick Rd, Terra Alta, WV 26764-6141 | 2020-08-12 |
| Find all providers in zip 26764 | ||||
| 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 |
|---|---|---|---|---|
| 1568411858 | Roger A Lewis | Family Medicine | 603b W State Ave, Terra Alta, WV 26764-1223 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1174133243 | Jacqulyn Marie Sheppard | Family Medicine | 2647 Raceview Dr, Ona, WV 25545-9636 | 2020-08-04 |
| 1194341594 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Elementary School, 45 School Street, Romney, WV 26757 | 2020-06-22 |
| 1730705328 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Middle School, 296 Calvert Drive, Romney, WV 26757 | 2020-06-19 |
| 1437775251 | E. A. Hawse Health Center, Inc. | Family Medicine | Hampshire High School, 157 Trojan Way, Romney, WV 26757-6317 | 2020-06-17 |
| 1235753286 | Community Health Association | Family Medicine | 146 Pinnell St, Ripley, WV 25271-9101 | 2020-06-05 |
| 1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
| 1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | TERRA ALTA |
| Zip Code | 26764 |
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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.