Physician Compare National (NPI:1962532747)

HEALTHCARE PROVIDER: HAROLD RAY LEWIS MD

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

Individual Professional Information
NPI	1962532747
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204090814
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120612000219
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEWIS
	Individual professional last name
Provider First Name	HAROLD
	Individual professional first name
Provider Middle Name	RAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1971
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8 MEDICAL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 304
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752347843
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450379
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DALLAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y