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NPI Code Detail

MEDICARE: WILLIAM DARRELL LEWIS M.D.

MEDICARE: WILLIAM DARRELL LEWIS M.D.
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
1208D00000XGeneral Practice Physician20431WV
2207Q00000XFamily Medicine Physician20431WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21457319048OTHERNPI

General Provider Information

NPI Number : 1457319048
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM DARRELL LEWIS M.D.
Provider Business Mailing Address
First Line : 2500 FOUNDATION WAY
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-9000
Country : US
Telephone Number : 304-264-9202
Fax Number : 304-264-9042
Provider Business Practice Location Address
First Line : 171 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-3641
Country : US
Telephone Number : 304-535-6343
Fax Number : 304-535-6618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 04/07/2022

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