Derek Lewis (NPI# 1407810641, PAC ID# 8022903020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1407810641 |
PAC ID by PECOS | 8022903020 |
Professional Enrollment ID | I20071120000713 |
Full Name | Derek Lewis |
Address |
6209 W 12th Little Rock AR 72204-1505 |
Phone Number | 5016635221 |
Gender | M |
Graduation Year | 1984 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040007 | CHI-ST VINCENT INFIRMARY |
040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
040036 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
Address | Phone | Organization |
---|---|---|
6209 W, 12th, Little Rock, AR 72204-1505 | 5016635221 | |
6209 W 12th St, Little Rock, AR 72204-1505 | 5016635221 | ARKANSAS PRIMARY CARE CLINICS PA |
400 W Pershing Blvd, North Little Rock, AR 72114-2146 | 5017717717 | NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC |
Street Address |
6209 W 12TH |
City | LITTLE ROCK |
State | AR |
Zip | 72204-1505 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janet R Cathey | Obstetrics/gynecology | Planned Parenthood of Arkansas and Eastern Oklahoma Inc | 5921 W 12th St, Suite C, Little Rock, AR 72204-1623 |
Shanna Rahmaan | Nurse Practitioner | Planned Parenthood of Arkansas and Eastern Oklahoma Inc | 5921 W 12th St, Suite C, Little Rock, AR 72204-1623 |
Kirk A Reynolds | Orthopedic Surgery | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Kirk A Turnbo | Physical Therapy | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Faith E Marquardt | Physician Assistant | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Ethan J Schock | Orthopedic Surgery | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Lauren Abigail Rainwater | Physician Assistant | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
John Joseph Head | Physician Assistant | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Jay Lipke | Orthopedic Surgery | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Stephen E Paulus | Physical Medicine and Rehabilitation | Arkansas Specialty Care Centers Pa | 800 Fair Park Blvd, Little Rock, AR 72204-1720 |
Find all physicians in zip 72204 |
City | LITTLE ROCK |
Zip Code | 72204 |
Specialty | FAMILY MEDICINE |
City + Specialty | LITTLE ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Derek 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.