Dr. Jody Parks Lewis
Internist Critical Care Medicine
3001 Lyndhurst Ave
Winston Salem
, North Carolina 27103
Dr. Jody Parks Lewis
Internist Critical Care Medicine
3001 Lyndhurst Ave
Winston Salem
, North Carolina 27103
(336) 760-6918
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Jody Parks Lewis
- 3001 Lyndhurst Ave
- Winston Salem, NC
- Zip : 27103-4007
- Fax : (336) 760-6918
- Phone : (336) 765-0383
Second Address
- Dr. Jody Parks Lewis
- 3001 Lyndhurst Ave
- Winston Salem, NC
- Zip : 27103
- Fax : (336) 760-6918
- Phone : (336) 765-0383
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 90092 | NC |
| N | 111NI0900X | Internist | 90092 | NC |
| Y | 207RC0200X | Critical Care Medicine | 2013-01227 | NC |
National Provider Identifier
| NPI | 1053571638 |
|---|---|
| Provider Name | Dr. Jody Parks Lewis |
| First Address | Winston Salem, NC 27103-4007 |
| Second Address | Winston Salem, NC 27103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2008 |
| Last Update Date | 25/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053571638 | (05) | NC |
| 1053571638 | PARTNERS (01) | NC |
| 1053571638 | TRICARE (01) | NC |
| 179R0 | BCBS (01) | NC |
| 267246 | MEDCOST (01) | NC |
| 3650930 | UNITED HEALTHCARE (01) | NC |
| 5084978 | AETNA (01) | NC |
| Q27017 | SC MEDICAID (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.