MEDICARE: DR. RORY HOWARD LEWIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	K6097	TX
2	207X00000X	Orthopaedic Surgery Physician	56282	TN
3	207X00000X	Orthopaedic Surgery Physician	35C.000087	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	113762050	OTHER	TX	TRICARE
2	848010	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	117797102	OTHER	TX	FIRST CARE

General Provider Information

NPI Number	:	1548213267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RORY HOWARD LEWIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 67
Second Line	:
City	:	LIVINGSTON
State	:	TN
Zip	:	38570
Country	:	US
Telephone Number	:	931-403-2663
Fax Number	:	931-403-6094

Provider Business Practice Location Address
First Line	:	600 W MAIN ST STE 340
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-3384
Country	:	US
Telephone Number	:	937-980-7420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/19/2024

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