Provider Demographics
NPI:1407037021
Name:ROBERT F. LEWE,MD,INC
Entity type:Organization
Organization Name:ROBERT F. LEWE,MD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:LEWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-792-9243
Mailing Address - Street 1:PO BOX 182521
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43218-2521
Mailing Address - Country:US
Mailing Address - Phone:614-792-9243
Mailing Address - Fax:
Practice Address - Street 1:297 ODESSA LN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1330
Practice Address - Country:US
Practice Address - Phone:614-792-9243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-7551-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2837649Medicaid
OHDG4280OtherRR MEDICARE
OHDG4280OtherRR MEDICARE