GERALD C LEWIS (NPI# 1639279177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639279177 |
| Entity Type | Individual |
| Full Name | GERALD C LEWIS |
| Credential | CNS, BC |
| Practice Address |
707 N Michigan St Ste 400 South Bend IN 46601-1067 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5745206228 |
| Practice Fax Number | 5745206339 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
70000167 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200531450 | 05 | |
| IN | BCBS BMG BEHAVIORAL HEALTH | 000000746666 | 01 |
| IN | RR MEDICARE | P01054054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548332240 | Gerald W Lewis | Psychologist | 1290 Worcester Rd, Framingham, MA 01702-5254 | 2006-11-15 |
| 1114950961 | Gerald E Lewis | Physical Therapist | 2625a Morris Ave, Union, NJ 07083-5676 | 2006-07-07 |
| 1215218821 | Gerald A. Lewis | Counselor | 1001 W Broadway, Farmington, NM 87401-5638 | 2011-09-09 |
| 1851543565 | Gerald Rex Lewis | Registered Nurse | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2008-10-14 |
| 1225102478 | Gerald H. Lewis | Internal Medicine | 150 N River Rd, Suite 100, Des Plaines, IL 60016-1272 | 2006-11-20 |
| Street Address |
707 N MICHIGAN ST STE 400 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971488 | Thomas Edward Capannari | Pediatrics | 707 N Michigan St, Ste 316, South Bend, IN 46601 | 2005-06-09 |
| 1588205231 | Patrick Murathimi Mutugu | Registered Nurse | 707 N Michigan St, South Bend, IN 46601-1067 | 2019-10-03 |
| 1952969115 | Caitlin Casey | Student in an Organized Health Care Education/Training Program | 707 N Michigan St, South Bend, IN 46601-1067 | 2019-06-03 |
| 1033520101 | Oluyinka Grace Osunnuga | Nurse Practitioner | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2014-05-12 |
| 1003172719 | Beth Ann Hayden | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2012-04-06 |
| 1447520291 | Advanced Center for Cardiothoracic Surgery LLC | Clinic/Center | 707 N Michigan St, 503, South Bend, IN 46601-1067 | 2012-01-11 |
| 1679707012 | Narendra Pratap Singh | Psychiatry & Neurology | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2009-05-13 |
| 1275705691 | Jagadeesh Reddy | Psychiatry & Neurology | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2008-03-26 |
| 1457536336 | Cardiothoracic Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 707 N Michigan St, Suite 501, South Bend, IN 46601-1067 | 2008-01-09 |
| 1508080714 | Duane D Flaig | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690786 | Cynthia Susan Fodness | Clinical Nurse Specialist | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
| 1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
| 1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
| 1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
| 1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
| 1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
| 1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
| 1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
| 1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
| 1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on GERALD C 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.