Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770615312 Individual Practitioner Male Practitioner

Paul Yosepa Lewis , CPED, LPED

Specialist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Paul Lewis, CPED, LPED is a registered healthcare professional specializing in Specialist in Broken Arrow, OK. Practice services are available at 1605A S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1605a S Main St

Broken Arrow, OK 740125604

Telephone 9182580206
Fax 9182580207

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Broken Arrow, OK (463 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OK 56

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1605A S MAIN ST, BROKEN ARROW, OK 740125604 (Tel: 9182580206)

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Updated Business Mailing Address July 08, 2007

Registered at 1605A S MAIN ST, BROKEN ARROW, OK 740125604 (Tel: 9182580206)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL LEWIS, C.PED, L.PED.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #56 in OK)

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Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770615312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1605a S Main St

Broken Arrow, OK 740125604

Phone: 9182580206

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.