MEDICARE: DR. STEPHEN J 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
1	207RH0005X	Hypertension Specialist Physician	35-070338	OH
2	207RC0000X	Cardiovascular Disease Physician	35070338L	OH
3	207RI0011X	Interventional Cardiology Physician	35070338L	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1619970274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN J LEWIS M.D.

Provider Business Mailing Address
First Line	:	10506A MONTGOMERY RD
Second Line	:	STE 301
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4401
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-985-2905

Provider Business Practice Location Address
First Line	:	10506A MONTGOMERY RD
Second Line	:	STE 301
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4401
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-985-2905

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/01/2024

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Directions to “ DR. STEPHEN J LEWIS M.D.” Practice Location

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