MEDICARE: JOHN HUNTER LEWIS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	1496	WV

General Provider Information

NPI Number	:	1306935192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN HUNTER LEWIS DO

Provider Business Mailing Address
First Line	:	4605 MACCORKLE AVE SW
Second Line	:	THS PHYSICIAN PARTNERS, INC.-ADMIN OFC
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1311
Country	:	US
Telephone Number	:	304-414-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1097 FLEDDERJOHN RD
Second Line	:	TMH ASHTON MEDICAL ASSOCIATES
City	:	CHARLESTON
State	:	WV
Zip	:	25314-4208
Country	:	US
Telephone Number	:	304-345-3627
Fax Number	:	304-346-4440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/20/2024

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