Michael J Lewis (NPI# 1366773400, PAC ID# 0941480719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1366773400 |
| PAC ID by PECOS | 0941480719 |
| Professional Enrollment ID | I20110210001012 |
| Full Name | Michael J Lewis |
| Organization Legal Name | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| Address |
8001 Youree Dr Shreveport LA 71115-2302 |
| Phone Number | 3182123000 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1759358674 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8001 Youree Dr, Shreveport, LA 71115-2302 | 3182123000 | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| Organization Legal Name | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candace Funderburk | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Billy Miller | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lynnon L Connerly | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Kurvis A Davis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Maurice A Hawley Jr. | Anesthesiology | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Stephen E Dailey | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Rhonda Connor | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Monica Collinsworth | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Regina Kittler | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lesa R Tilley | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Street Address |
8001 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip | 71115-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Hernandez | Internal Medicine | Wk Moller Cassiere Clinic | 8001 Youree Dr, Suite 400, Shreveport, LA 71115-2340 |
| Antonio R Pizarro | Obstetrics/gynecology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2339 | |
| Holly Johnson | Nurse Practitioner | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Jorge Martinez-leyva | Emergency Medicine | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2327 | |
| Sarah A Lafield | Physician Assistant | Dr. Wen Liu Inc. | 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2331 |
| Jason S Mook | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Hector Brunet Rodriguez | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Darrell Sandifer | Obstetrics/gynecology | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Guillermo O Padilla-pineda | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Leocardy Pierre | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Austin Brice | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Ganesh S Dhoble | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Eustace Edwards | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Wen Liu | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Kamlesh Jani | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Jennifer Thomas Prime | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Diane Elizabeth Jamison-blair | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Glenn R. Figueroa | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Find all physicians in zip 71115 | |||
| City | SHREVEPORT |
| Zip Code | 71115 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SHREVEPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.