Physician Compare National (NPI:1033233879)

HEALTHCARE PROVIDER: EDWARD LEWIS REASON D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033233879
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113099433
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080702000143
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REASON
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	77 W BARNEY ST
	Group Practice or individual's line 1 address
City	GOUVERNEUR
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	136421040
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3152873400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	331315
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOUVERNEUR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330197
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CANTON-POTSDAM HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y