BRAD L LEWIS (NPI# 1730315748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730315748 |
| Entity Type | Individual |
| Full Name | BRAD L LEWIS |
| Credential | PAC |
| Practice Address |
225 Keystone Ave Cresson PA 16630-1214 |
| Mailing Address |
529 Keystone Ave Cresson PA 16630-1330 |
| Practice Telephone | 8148862911 |
| Practice Fax Number | 8148862911 |
| Mailing Telephone | 8149357279 |
| Mailing Fax Number | 8148865470 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA003125L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Franklin St, Suite 410, Johnstown, PA 159054330 | 8145367851 | 8145393649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567685 | Brad Lewis | Dentist | 900 S Federal Hwy, Hollywood, FL 33020-6051 | 2006-07-27 |
| 1619958188 | Brad C Lewis | Optometrist | 3440 S National Ave, Springfield, MO 65807-7307 | 2005-11-10 |
| 1871671974 | Brad A. Lewis | Pediatrics | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-11-02 |
| 1558350736 | Brad H Lewis | Specialist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-10-19 |
| Street Address |
225 KEYSTONE AVE |
| City | CRESSON |
| State | PA |
| Zip Code | 16630-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270463 | Genevieve Wasil-raymond | Nurse Practitioner | 225 Keystone Ave, Cresson, PA 16630-1214 | 2005-07-22 |
| 1740696194 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 225 Keystone Ave, Cresson, PA 16630-1214 | 2014-07-07 |
| 1972630242 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 225 Keystone Ave, Cresson, PA 16630-1214 | 2007-02-27 |
| 1245372895 | Conemaugh Health Initiatives, Inc. | Non-Pharmacy Dispensing Site | 225 Keystone Ave, Cresson, PA 16630-1214 | 2007-02-12 |
| 1376613489 | Conemaugh Health Initiatives | Family Medicine | 225 Keystone Ave, Cresson, PA 16630-1214 | 2006-11-08 |
| 1770696163 | Conemaugh Health Initiatives | Family Medicine | 225 Keystone Ave, Cresson, PA 16630-1214 | 2006-08-17 |
| 1992705727 | Paul A Raymond | Family Medicine | 225 Keystone Ave, Cresson, PA 16630-1214 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740490291 | Heide Sedwick | Psychologist | 511 C Front Street, Cresson, PA 16630 | 2007-05-23 |
| 1639178437 | Patrick K. Lenz | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2005-07-14 |
| 1275816001 | Danette George | Physician Assistant | 792 Gallitzin Road, Cresson, PA 16630 | 2011-09-28 |
| 1225008519 | Lawrence R. Stem | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1760452023 | Mitchell W Joseph | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1962813170 | Stephen Tomlinson | Behavioral Analyst | 310 North Ave, Cresson, PA 16630-1000 | 2014-05-12 |
| 1811291081 | Jesika Sue Leleck | Counselor | 1518 W 2nd St Apt 3, Cresson, PA 16630-1022 | 2011-01-03 |
| 1275148363 | Alicia Jean Shedlock | Nurse Practitioner | 530 Gwinn Ave, Cresson, PA 16630-1056 | 2020-09-15 |
| 1316347941 | Mainline Vision and Eye Wear LLC | Eyewear Supplier (Equipment, not the service) | 701 Front St, Cresson, PA 16630-1114 | 2014-09-02 |
| 1639465164 | Ashley Marie Mastrine | Optometrist | 701 Front St, Cresson, PA 16630-1114 | 2011-06-23 |
| Find all providers in zip 16630 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275816001 | Danette George | Physician Assistant | 792 Gallitzin Road, Cresson, PA 16630 | 2011-09-28 |
| 1033353552 | Billie Lynn Lewis | Physician Assistant | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRAD L 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.