JASON LEWIS (NPI# 1902305303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902305303 |
| Entity Type | Individual |
| Full Name | JASON LEWIS |
| Credential | PA |
| Practice Address |
860 Lynn St Lebanon MO 65536-3810 |
| Mailing Address |
Po Box 9007 Springfield MO 65808-9007 |
| Practice Telephone | 4173348337 |
| Practice Fax Number | 4175322067 |
| Mailing Telephone | 4178753000 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2018004810 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 220051493 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 860 Lynn St, Lebanon, MO 655363810 | 4173348337 | 4175322067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430521 | Jason Dushawn Lewis | Technician/Technologist | 1360 Camden St, Ferndale, MI 48220-2604 | 2018-09-13 |
| 1851829402 | Jason Lee Lewis | Counselor | 410 E Spring St Ste E, Cookeville, TN 38501-3791 | 2017-05-26 |
| 1548714488 | Jason David Lewis | Behavioral Analyst | 831 Irma Ave, Orlando, FL 32803-3806 | 2016-08-09 |
| 1316305972 | Jason Lewis | Counselor | 1016 So 28th St, Tacoma, WA 98409-8020 | 2016-02-10 |
| 1780017012 | Jason Charles Lewis | Specialist | 537 Jefferson Ave, Rockville Centre, NY 11570-3311 | 2013-08-09 |
| 1659610350 | Jason Joshua Lewis | Counselor | 9708 Spid Dr Ste A103, Corpus Christi, TX 78418-5166 | 2013-01-31 |
| 1316214745 | Jason Lewis | Physical Therapist | 1120 E Pleasant Run Rd Ste 409, Desoto, TX 75115-3500 | 2011-11-30 |
| 1912289836 | Jason Lewis | Registered Nurse | 14 Mcdonald St, Glens Falls, NY 12801-3715 | 2011-09-16 |
| 1942524046 | Jason L Lewis | Psychologist | 10513 Hidden Oaks Ln N, Champlin, MN 55316-3045 | 2010-03-17 |
| 1043453228 | Jason Lewis | Family Medicine | 1675 North Main Street, Lapel, IN 46051-9671 | 2009-04-17 |
| Street Address |
860 LYNN ST |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448470 | Catherine A Grigg | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2005-12-22 |
| 1801496856 | Lauren Dailey Smalling | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-10-29 |
| 1023657152 | Kristin M. Million | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-01-07 |
| 1497390959 | Cynthia Denise Parker | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-11-08 |
| 1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
| 1235780099 | Jeanna Suzanne Hood | Registered Nurse | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-09-24 |
| 1487136156 | Elizabeth Leuthold | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-30 |
| 1245710045 | Derrick Leighton Carroll | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-21 |
| 1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
| 1790272011 | Mary Kathryn Goslin | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154536 | Hannah Stefanik | Physician Assistant | 1434 E 400 S, Lebanon, IN 46052-9761 | 2020-04-28 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1225511801 | Thomas Carroll | Physician Assistant | 1633 W Main St Ste 300, Lebanon, TN 37087-7800 | 2018-09-10 |
| 1962863241 | Jonathan David Barnett | Physician Assistant | 1420 W Baddour Pkwy Ste 110, Lebanon, TN 37087-1510 | 2016-03-14 |
| 1942684584 | Samantha Pellechio | Physician Assistant | 60 Haytown Rd, Lebanon, NJ 08833-4004 | 2015-07-14 |
| 1386035756 | Whitney Hanor | Physician Assistant | 720 Spring Meadow Ln, Lebanon, TN 37087-3397 | 2015-02-06 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1144510538 | Derek Varney | Physician Assistant | 735 Norman Dr # Dr3, Lebanon, PA 17042-7559 | 2011-04-19 |
| 1457656902 | Scott Darron Fowler | Physician Assistant | 155 Legends Drive, Suite I, Lebanon, TN 37087 | 2011-01-13 |
| 1043408503 | Peter A Rosenblum | Physician Assistant | 525 N. Santiam Hwy., Lebanon, OR 97355-3982 | 2007-10-10 |
| Find all providers in LEBANON | ||||
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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.