Nichole M Lewis (NPI# 1730357104, PAC ID# 2567549637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730357104 |
| PAC ID by PECOS | 2567549637 |
| Professional Enrollment ID | I20080414000617 |
| Full Name | Nichole M Lewis |
| Organization Legal Name | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| Address |
2821 N Ballas Rd Suite 110 Saint Louis MO 63131-2314 |
| Phone Number | 3146289000 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234160946 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140145 | ST JOSEPHS HOSPITAL |
| 141349 | SPARTA COMMUNITY HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9409 Holy Cross Lane, Suite 113, Breese, IL 62230-3510 | 6185268430 | HSHS MEDICAL GROUP INC |
| 1512 N Green Mount Rd, Suite 108, Ofallon, IL 62269-1953 | 6186245510 | HSHS MEDICAL GROUP INC |
| 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 | 3146289000 | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| 1300 N Market St, Sparta, IL 62286-1048 | 6184434138 | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| Organization Legal Name | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| W. Richard Sylvanovich | Gastroenterology | Midwest Therapeutic Endoscopy Consultants LLC | 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 |
| Street Address |
2821 N BALLAS RD SUITE 110 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63131-2314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| W. Richard Sylvanovich | Gastroenterology | Midwest Therapeutic Endoscopy Consultants LLC | 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 |
| James R Etzkorn | Internal Medicine | 2821 N Ballas Rd, Suite 116, St Louis, MO 63131-2314 | |
| Hyacinth Jana Mcguire | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| John B Costello | Internal Medicine | 2821 N Ballas Rd, Suite 165, St Louis, MO 63131-2320 | |
| Patrick J Bronder Jr. | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Bayla M Myer | Psychologist, Clinical | 2821 N Ballas Rd, C35, Saint Louis, MO 63131-2393 | |
| Frank O Petkovich | Orthopedic Surgery | 2821 N Ballas Rd, C70, St Louis, MO 63131-2391 | |
| John T Anstey | Obstetrics/gynecology | St Ann Ob Gyn Inc | 2821 N Ballas Rd, Suite 255, St Louis, MO 63131-2380 |
| Bryson Colt Wilbanks | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Joseph F Unger Jr. | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajid Zafar | Gastroenterology | 12950 Woodlark Ln, Saint Louis, MO 63131-1314 | |
| Kira S Mailey | Nephrology | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | |
| Laura A Baldridge | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Megan M Cox | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Daniel P Gogliotti | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Jessica L Hilgedick | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Robert Becker | Psychologist, Clinical | 2190 S Mason Rd, Suite 200, Saint Louis, MO 63131-1637 | |
| Lauren Christine Sanderson | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Sona Kamat | Internal Medicine | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Allison Anne Krull | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Find all physicians in zip 63131 | |||
| City | SAINT LOUIS |
| Zip Code | 63131 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT LOUIS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nichole M Lewis.
| 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.