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Physician Compare National (NPI:1992804462)

HEALTHCARE PROVIDER: PAMELA P LEWIS 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 1992804462
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587711049
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090421000000
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 PAMELA
Individual professional first name
Provider Middle Name POWELL
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1 SHRADER ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 400
Group Practice or individual's line 2 address
City SAN FRANCISCO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 941171035
Group Practice or individual's zip code (9 digits when available)
Phone Number 4156688060
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 050457
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST MARY'S MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 050197
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SEQUOIA HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 050007
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 PENINSULA MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 050084
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ST JOSEPHS MEDICAL CENTER OF STOCKTON
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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