JUSTIN J LEWIS (NPI# 1538696356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538696356 |
| Entity Type | Individual |
| Full Name | JUSTIN J LEWIS |
| Credential | PA-C |
| Practice Address |
141 Hospital Dr Ste 102 Salem KY 42078-8043 |
| Mailing Address |
Po Box 347 Salem KY 42078-0347 |
| Practice Telephone | 2709883298 |
| Practice Fax Number | 2709884642 |
| Mailing Telephone | (270) 988-3298 |
| Mailing Fax Number | 2709884642 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 136934 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | PA2237 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TC604 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BLUE CROSS AND BLUE SHIELD OF KY | 000001106789 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 S Main St, Marion, KY 420641545 | 2709654377 | 2709659569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306349410 | Justin Lewis | Specialist/Technologist | 5 Hope Dr, Boiling Springs, PA 17007-9756 | 2018-03-14 |
| 1699229740 | Justin Lewis | Optometrist | 2539 41st St, Astoria, NY 11103-3238 | 2016-08-06 |
| 1972102846 | Justin Lewis | Pharmacist | 810 Indian Mound Dr, Mount Sterling, KY 40353-1156 | 2020-10-22 |
| 1477160901 | Justin Lee Lewis | Pharmacist | 1 Millard Farmer Ind Blvd, Newnan, GA 30263-1078 | 2020-09-29 |
| 1316409592 | Justin Lavelle Lewis | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249 | 2019-04-04 |
| 1871081398 | Justin Walton Lewis | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2018-04-30 |
| 1053816173 | Justin Edward Lewis | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-29 |
| 1831621929 | Justin Stites Lewis | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2017-03-29 |
| 1053710277 | Justin Taylor Lewis | Chiropractor | 330 W 58th St Ste 407, New York, NY 10019-1820 | 2014-08-14 |
| 1477832186 | Justin Paul Lewis | Marriage & Family Therapist | 2820 Jefferson St, Paducah, KY 42001-4170 | 2011-08-11 |
| Street Address |
141 HOSPITAL DR STE 102 |
| City | SALEM |
| State | KY |
| Zip Code | 42078-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184730 | Demetrius L Patton | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2005-06-16 |
| 1558784769 | Kristee Croft Shoulders | Registered Nurse | 141 Hospital Dr, Salem, KY 42078-8043 | 2014-01-23 |
| 1649430778 | Terry W Boone | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2008-06-12 |
| 1669566170 | Salem Clinic Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-10-02 |
| 1902822661 | Deborah B Dutton | Nurse Practitioner | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-07-14 |
| 1538127378 | Ghassan Yazigi | Family Medicine | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-05-02 |
| 1396708566 | James Todd Bergin | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-04-10 |
| 1669442620 | Michael Philip Gavin | Surgery | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-24 |
| 1588644496 | Tri-rivers Healthcare Pllc | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523120 | Shannon Federico | Pharmacist | 119 East Main St., Salem, KY 42078 | 2007-02-09 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1629597638 | Misty Jones Turmero | Pharmacist | 119 East Main St., Salem, KY 42078 | 2017-09-12 |
| 1740689876 | Codie L Parks | Pharmacist | 131 Hospital Drive, Salem, KY 42078 | 2014-08-14 |
| 1265481022 | Crittenden County Hospital | Clinic/Center | 117 E Main St, Salem, KY 42078 | 2006-05-09 |
| 1891859799 | R V Bharne Psc | Family Medicine | 501 N Hayden Avenue, Salem, KY 42078-0376 | 2006-12-22 |
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| 1073162475 | Lori Guill | Speech-Language Pathologist | 508 N Hayden Ave, Salem, KY 42078-8008 | 2019-09-09 |
| 1366543837 | Orion Salem LLC | Skilled Nursing Facility | 509 N Hayden Ave, Salem, KY 42078-8008 | 2006-09-26 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| Find all providers in zip 42078 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1174132195 | Andrew Yosim | Physician Assistant | 1750 Pexton Ave, Salem, VA 24153-4108 | 2020-07-27 |
| 1689202269 | Adam Joyce | Physician Assistant | 1005 Meadowrun Ct, Salem, VA 24153-6687 | 2020-03-30 |
| 1417504085 | Alexis Marie Biewend | Physician Assistant | 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 | 2019-08-19 |
| 1497309322 | Lindsey Ann Castleberry | Physician Assistant | 1111 Meadow Sage Cir, Salem, UT 84653-5578 | 2019-07-29 |
| 1134773450 | Jillian Netland | Physician Assistant | 6507 Lipscomb St Se, Salem, OR 97317-9513 | 2019-07-25 |
| 1457827354 | Gretchen Amrien | Physician Assistant | 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 | 2018-10-17 |
| 1649751934 | Matthew Hansen | Physician Assistant | 875 Oak St. Se Ste 5020, Salem, OR 97301 | 2018-08-24 |
| 1487152948 | Jessica Lynn Brooks | Physician Assistant | 875 Oak St Se Ste 5060, Salem, OR 97301 | 2018-01-30 |
| Find all providers in SALEM | ||||
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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.