Wendell R Lewis in Ridgeley - Physician Assistant
Wendell R Lewis - NPI 1508058009
Wendell R Lewis is a Physician Assistant in Ridgeley, . Wendell R Lewis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendell R Lewis is 1508058009. The last update date is 2020-07-13.
Wendell R Lewis's current location address is 45 Hunt Club Dr, Ridgeley, . You can contact this provider via phone number 3047264501 and fax number 3047264051. The mailing address for Wendell R Lewis is 45 Hunt Club Dr, Ridgeley, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendell R Lewis |
|---|---|
| Address | 45 Hunt Club Dr, Ridgeley, |
| Phone Number | 3047264501 |
| Fax Number | 3047264051 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508058009 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2020-07-13 |
Provider Mailing Address Detail
| Address | 45 Hunt Club Dr |
|---|---|
| City | Ridgeley |
| State | (WV) |
| Post Code | 267537567 |
| Phone Number | 3047264501 |
| Fax Number | 3047264051 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C05465 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA053081 | PA | PENNSYLVANIA PA LICENSE | |
| 110002558 | VA | LICENSE | |
| 1323 | WV | WEST VIRGINIA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wendell R Lewis?
The Wendell R Lewis has been issued the NPI (National Provider Identifier) 1508058009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Wendell R Lewis located?
The Wendell R Lewis is located at 45 Hunt Club Dr, Ridgeley, WV 267537567.
What is Wendell R Lewis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendell R Lewis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Wendell R Lewis receive its 1508058009 assignment?
The Wendell R Lewis was assigned its 1508058009 on 2007-08-17, which is the date when this unique identifier was issued to the organization.
When was the Wendell R Lewis's information last updated?
The Wendell R Lewis's information was last updated on 2020-07-13.