DR. GEORGE KENNETH LEWIS JR. (NPI# 1649743204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649743204 |
| Entity Type | Individual |
| Full Name | DR. GEORGE KENNETH LEWIS JR. |
| Credential | PHD |
| Practice Address |
56 Quarry Rd Trumbull CT 06611-4874 |
| Mailing Address |
158 Pinewood Trl Trumbull CT 06611-3313 |
| Practice Telephone | 8882029831 |
| Practice Fax Number | 8882029831 |
| Mailing Telephone | 9786041246 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801207360 | George Weldon Lewis | Veterinarian | 4842 Absolute Dr, Hilliard, FL 32046-6314 | 2014-05-17 |
| 1104925783 | George Hiller Lewis | Physician Assistant | 505 West Hollis St, Suite 110, Nashua, NH 03063 | 2006-09-21 |
| 1144326695 | George H Lewis | Dentist | 813 Stilson Rd, Suite A, Boise, ID 83703 | 2006-09-15 |
| 1083243521 | George Lewis | Student in an Organized Health Care Education/Training Program | 200 S Manchester Ave Ste 835, Orange, CA 92868-3213 | 2020-04-06 |
| 1518193648 | George Raymond Lewis | Social Worker | 1000 E 18th St, Roswell, NM 88201-7532 | 2009-06-03 |
| 1417129321 | George Milton Lewis Jr. | Psychiatry & Neurology | 23639 Hawthorne Blvd, 201, Torrance, CA 90505-5930 | 2008-03-31 |
| 1043418973 | George Michael Lewis | Pharmacist | 5711 Altama Ave Ste J, Brunswick, GA 31525-2200 | 2007-07-03 |
| 1801935317 | George M Lewis | Technician, Other | 427 Commercial St., Uscg Isc Boston, Boston, MA 02109 | 2007-02-05 |
| 1295880631 | George S Lewis | Pharmacist | 16039 Harlem Ave, Tinley Park, IL 60477-1611 | 2007-01-24 |
| 1417978958 | George Luke Lewis | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-21 |
| Street Address |
56 QUARRY RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013792 | Peter Shimkin | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-09-20 |
| 1265929566 | Zetroz Systems LLC | Durable Medical Equipment & Medical Supplies | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2018-04-23 |
| 1942679816 | Zetroz Systems LLC | Durable Medical Equipment & Medical Supplies | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2015-09-21 |
| 1306090535 | Shelley Lynn Goodstine | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2008-11-14 |
| 1104987601 | Connecticut Home Health Care, Inc. | Home Health | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2006-12-12 |
| 1518915990 | Kelly Harkins | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2006-05-05 |
| 1659360063 | Jennifer K Fan | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-10-18 |
| 1033105184 | Octavio Choy | Specialist | 56 Quarry Rd, Attn: Brenda Sholomicky, Trumbull, CT 06611-4874 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306140603 | Milan Beres | Specialist | 31 Isinglass Ter, Trumbull, CT 06611-4038 | 2010-12-29 |
| 1831102862 | Joseph A. Mortati | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2006-08-14 |
| 1093703522 | Anita J Eisenhauer | Specialist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2005-10-10 |
| 1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
| 1699069286 | The Orthopaedic & Sports Medicine Center P.C. | Specialist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2011-06-01 |
| 1023272598 | Sound Ent, LLC | Specialist | 965 White Plains Rd, 3rd Floor, Trumbull, CT 06611-4566 | 2008-07-15 |
| 1053506667 | Connecticut Pain Care, P.C. | Specialist | 5520 Park Ave, Suite 303, Trumbull, CT 06611-3463 | 2007-09-07 |
| 1649476730 | Aftercare Physical Therapy Services | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-06-25 |
| 1619199452 | Urological Associates of Bridgeport Prof.corp. | Specialist | 160 Hawley Lane, Trumbull, CT 06611-5300 | 2007-05-02 |
| 1932234440 | Orthopaedic & Sports Medicine Ctr PC | Specialist | 888 White Plains Rd, Suite 105, Trumbull, CT 06611-4552 | 2007-02-23 |
| Find all providers in TRUMBULL | ||||
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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.