MICHELLE D LEWIS (NPI# 1801802046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801802046 |
| Entity Type | Individual |
| Full Name | MICHELLE D LEWIS |
| Other Name | MICHELLE D JANOFF |
| Credential | MD |
| Practice Address |
3935 N. Lightning Drive Appleton WI 54913-7890 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9209681790 |
| Practice Fax Number | 9209681794 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206869674 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 53110-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 45914 | CO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD11804 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE | 53730-020 | 01 |
| WI | 1801802046 | 05 | |
| WI | DEA | BL9236034 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2351 State Road 44, Oshkosh, WI 549046333 | 9206518855 | 9203850287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165167 | Michelle T. Lewis | Occupational Therapy Assistant | 325 S Polk St, Papillion, NE 68046-2568 | 2020-05-14 |
| 1295260099 | Michelle Lewis | Social Worker | 1762 Blue Horizon Dr, Morgantown, WV 26501-2280 | 2017-04-29 |
| 1275901332 | Michelle Rae Lewis | Occupational Therapy Assistant | 1600 W La Jolla Dr Apt 2120, Tempe, AZ 85282-4469 | 2015-09-07 |
| 1689079311 | Michelle Lewis | Licensed Vocational Nurse | 7420 Flamingo Way, Sacramento, CA 95828-3231 | 2014-10-23 |
| 1467855189 | Michelle Lewis Lewis | Home Health Aide | 7948 Jill Ln, Franklin, OH 45005-3820 | 2014-10-08 |
| 1750676185 | Michelle Renee Lewis | Licensed Practical Nurse | 13539 Santa Rosa Dr, Suite 343, Detroit, MI 48238-2533 | 2011-06-14 |
| 1487959672 | Michelle Lewis | Registered Nurse | 6 Oxford Pl, Upper Chichester, PA 19014-3420 | 2011-01-19 |
| 1558676338 | Michelle Lewis | Social Worker | 7105 S. Highland Dr., Ste 303, Salt Lake City, UT 84121 | 2010-08-17 |
| 1285815506 | Michelle Arvea Lewis | Pharmacy Technician | 1595 Summit Ave, Hillside, NJ 07205-1403 | 2007-11-15 |
| 1841310547 | Michelle H Lewis | Optometrist | 950 Port Washington Rd, Grafton, WI 53024-9201 | 2007-03-29 |
| Street Address |
3935 N. LIGHTNING DRIVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804038 | Brent Robert Weed | Dermatology | 3935 N. Lightning Drive, Appleton, WI 54913-7890 | 2005-12-30 |
| 1770593931 | Marcella K Teske | Nurse Practitioner | 3935 N. Lightning Drive, Appleton, WI 54913 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811930191 | John William Faber | Dermatology | 412 E Longview Dr., Appleton, WI 54911 | 2006-06-14 |
| 1104804038 | Brent Robert Weed | Dermatology | 3935 N. Lightning Drive, Appleton, WI 54913-7890 | 2005-12-30 |
| 1619324985 | Cory J Duprey | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913-6717 | 2016-05-17 |
| 1477725141 | Peter J Katz | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913-6717 | 2008-04-02 |
| 1518171503 | Valley Dermatology Clinic,s.c. | Dermatology | 412 E Longview Dr, Appleton, WI 54911-2145 | 2007-05-09 |
| 1114015674 | Charles Norman Kagen | Dermatology | 100 W Lawrence St, Suite 409, Appleton, WI 54911-5773 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
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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.