| Seth R Lewis Md Pc | |
|
555 E 5300 S Ste 7 Ogden UT 84405-4509 | |
| (801) 475-5100 | |
| (801) 475-8580 |
| Full Name | Seth R Lewis Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 E 5300 S Ste 7, Ogden, Utah |
| Authorized Official Name and Position | Natalie Hale (OFFICE MANAGER) |
| Authorized Official Contact | 8014755100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seth R Lewis Md Pc 555 E 5300 S Ste 7 Ogden UT 84405-4509 Ph: (801) 475-5100 | Seth R Lewis Md Pc 555 E 5300 S Ste 7 Ogden UT 84405-4509 Ph: (801) 475-5100 |
| NPI Number | 1205032190 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 0143320333 |
|---|---|
| Medicare Enrollment ID | O20070718000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205032190 | NPI | - | NPPES |
| 528641867027 | Medicaid | UT | |
| 264301-1205 | Other | UT | STATE LICENSE NUMBER |
| F91544 | Other | UT | UPIN |
| 1851409544 | Other | INDIVIDUAL NPI | |
| 000060812 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Seth R Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851409544 PECOS PAC ID: 7517976327 Enrollment ID: I20060406000038 |
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