Physician Compare National (NPI:1093920043)

HEALTHCARE PROVIDER: ROGER AMOS LEWIN M.D.

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

Individual Professional Information
NPI	1093920043
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951597020
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101201000636
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEWIN
	Individual professional last name
Provider First Name	ROGER
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6525 N CHARLES ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 139
	Group Practice or individual's line 2 address
City	TOWSON
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212046829
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y