| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TOD C LEWIS | 1184651127 | 2024-07-05 |
Tod C Lewis MD [M] graduated in 1990 from University Of Minnesota Medical School and primarily specializes in Family Medicine.
Tod C Lewis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184651127. Registration indicates Tod C Lewis is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 345243911 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Tod C Lewis MD |
| Practice Office Address | 1346 E GREEN BAY ST SHAWANO, WI US |
| Practice Office Telephone | 7155266244 |
| Mailing Address | PO BOX 735044 CHICAGO, IL 606735044 US |
| Business Telephone | 8003262250 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5110 N US Highway 51 | Mercer, WI 545478900 | 7154762345 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 32856
WI |
| 31955600 | MEDICAID | WI |