Healthcare Provider Details

I. General information

NPI: 1003365875
Provider Name (Legal Business Name): WHITFIELD LEWIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE BLDG SUITE802
PITTSBURGH PA
15213-3215
US

IV. Provider business mailing address

3471 5TH AVE BLDG SUITE802
PITTSBURGH PA
15213-3215
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4600
  • Fax: 412-692-4636
Mailing address:
  • Phone: 412-692-4600
  • Fax: 412-692-4636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036178188
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberMD470752
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number036178188
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: