Healthcare Provider Details

I. General information

NPI: 1295721603
Provider Name (Legal Business Name): PAUL E LEWIS III MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NORTHPOINTE CIR STE 104
SEVEN FIELDS PA
16046-7862
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 833-391-0738
  • Fax: 724-741-2583
Mailing address:
  • Phone: 833-391-0738
  • Fax: 724-741-2583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD83391
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberD83391
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: