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Deactivated NPI 1215919543 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Lewis , MD

Surgery • Ithaca, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Lewis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2005
NPI Deactivation Date October 09, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Lewis, MD was a registered Surgery practicing in Ithaca, MI. Throughout an active medical career spanning 20 years, Dr. Lewis provided care at the practice location at 114 N MAIN ST until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

114 N Main St

Ithaca, MI 488471132

Telephone 9898756849
Fax 9898756870
Associated Practice Facility / Clinic
🏢 Sparrow Carson Hospital Facility NPI 1770553547

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ithaca, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Ithaca, MI (1479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Hallie Wilson , DO

Family Medicine

NPI 1003881053

Doctor of Osteopathic Medicine (D.O.)

NPI 1053046714

Doctor of Medicine (M.D.)

Paula Ellsworth , NP

Nurse Practitioner - Family

NPI 1255680211

Nurse Practitioner

NPI 1316268816

Doctor of Osteopathic Medicine (D.O.)

Thomas Knight , PA-C

Physician Assistant

NPI 1396719878

Physician Assistant (Certified)

NPI 1801861851

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active March 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2008

Registered at 114 N MAIN ST, ITHACA, MI 488471132 (Tel: 9898756849)

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Updated Business Mailing Address March 25, 2008

Registered at 4449 FASHION SQUARE BLVD, SAGINAW, MI 486035217 (Tel: 9897900007)

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Provider Name / Credentials Updated March 25, 2008

Recorded as EDWARD LEWIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2008

Surgery

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Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215919543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: March 25, 2008
Deactivation Date: October 09, 2025

Mailing Address

4449 Fashion Square Blvd

Saginaw, MI 486035217

Phone: 9897900007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.