JACK B. LEWIS M.D. – NPI #1396706487
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

JACK LEWIS is an urologist located in MANSFIELD, TX. NPPES has assigned the NPI number 1396706487 to JACK LEWIS on March 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 2 years ago on May 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK LEWIS below.

NPI Profile for
JACK B. LEWIS

NPI Number
1396706487
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK B. LEWIS
Credentials
M.D.
Primary location
252 MATLOCK RD STE 244
MANSFIELD, TX 76063-4294
Phone: (817) 784-8268 Fax: (817) 477-8881
1 Other location(s):
500 5th St
Brookings, OR 97415-9702
Phone: (541) 412-2000
Fax: (541) 412-2081
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
WI 43653-020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK LEWIS is affiliated with the following medical group(s):
  • HOSPITAL
    • METHODIST MANSFIELD MEDICAL CENTER
      2700 E BROAD STREET
      MANSFIELD, TX 76063

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