MRS. ANGELA DAWN LEWIS (NPI# 1710073580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710073580 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA DAWN LEWIS |
| Credential | DO |
| Practice Address |
1021 Kenwood Dr Russell KY 41169 |
| Practice Telephone | 6068361954 |
| Practice Fax Number | 6068363878 |
| Mailing Telephone | 6068361954 |
| Mailing Fax Number | 6068363878 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | KY02545 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 080127343 | 01 |
| KY | 64025455 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027900 | Angela Marie Lewis | Physical Therapy Assistant | 5156 N Bend Xing, Cincinnati, OH 45247-3106 | 2019-08-05 |
| 1609387141 | Angela Maria Lewis | Dental Assistant | Bldg 11572 17th & C St, Jblm, WA 98433 | 2017-10-23 |
| 1821459744 | Angela Faye Lewis | Counselor | 19135 Addison Dr, Southfield, MI 48075 | 2016-03-19 |
| 1174931919 | Angela Marie Lewis | Physical Therapist | 2601 Rosewood Cir, Jonesboro, AR 72401-5975 | 2014-07-24 |
| 1528327814 | Angela Jeanette Lewis | Behavioral Analyst | 2921 Lindsay Ln, Spencer, OK 73084-3547 | 2012-05-08 |
| 1558697979 | Angela L Lewis | Nurse's Aide | 508 Harrison St, Piqua, OH 45356-2428 | 2009-10-19 |
| 1730318841 | Angela R Lewis | Licensed Practical Nurse | 1696 W Main Cir Apt 18, De Pere, WI 54115-6841 | 2009-07-09 |
| 1104091925 | Angela Marie Lewis | Counselor | 2518 Lawrence Cooley Rd, Milton, FL 32570-9772 | 2008-04-23 |
| 1982802898 | Angela Lewis | Speech-Language Pathologist | 4045 Amber Leigh Way Dr, Charlotte, NC 28269-2374 | 2007-07-03 |
| 1760434138 | Angela Ricelle Lewis | Ophthalmology | 606 Silver Lake Ct, Savoy, IL 61874-7449 | 2006-05-16 |
| Street Address |
1021 KENWOOD DR |
| City | RUSSELL |
| State | KY |
| Zip Code | 41169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821398173 | Angela D Lewis Do Psc | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169-1527 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552999 | Joseph Ray Bowling | Optometrist | 112 S Vinson Blvd, Louisa, KY 41169 | 2010-07-12 |
| 1508031980 | Alissa R Parker | Nurse Practitioner | 105 Thompson Road, Russell, KY 41169 | 2008-04-25 |
| 1770703829 | Elmer H Mullins Jr. | Dentist | 1452 Diederich Blvd, Russell, KY 41169 | 2007-04-30 |
| 1790862233 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 1490 Diederich Blvd, Russell, KY 41169 | 2006-11-01 |
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| 1245436757 | Debora K Reeves | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2007-06-22 |
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| 1801418181 | Nurseology, LLC | Case Management | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-10 |
| Find all providers in zip 41169 | ||||
| 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 |
|---|---|---|---|---|
| 1164868980 | Thomas Kriley | Family Medicine | 200 S Main St Bldg B, Russell, KS 67665-2920 | 2013-05-20 |
| 1366489817 | The Clara Barton Hospital Association Inc Hoisington Kansas | Family Medicine | 410 N Main St Ste C, Russell, KS 67665-2760 | 2006-06-01 |
| 1417943176 | Sambhundh Panichabhongse | Family Medicine | 222 S Kansas, Rrh Physicians Clinic Ste B, Russell, KS 67665 | 2005-09-27 |
| 1174879936 | Tyrel K Somers | Family Medicine | 222 S Kansas St, Russell, KS 67665-3000 | 2012-07-31 |
| 1821398173 | Angela D Lewis Do Psc | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169-1527 | 2010-11-02 |
| 1770745382 | The Clara Barton Hospital Association Inc Hoisington Kansas | Family Medicine | 410 N Main St, #c, Russell, KS 67665 | 2008-06-26 |
| 1801013628 | Jill Marie Doerfler-iniguez | Family Medicine | 222 S Kansas, Russell, KS 67665-3000 | 2007-04-20 |
| 1972629749 | Alicia Marie Bean | Family Medicine | 222 S Kansas St, Russell, KS 67665-3000 | 2007-03-22 |
| 1912961715 | Timothy Scott Webb | Family Medicine | 410 N Main St, Russell, KS 67665-2759 | 2006-04-17 |
| 1821064114 | Paul D. Wardlaw | Family Medicine | 200 S Main St, Russell, KS 67665-2920 | 2006-02-27 |
| Find all providers in RUSSELL | ||||
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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.