Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164633715 Individual Practitioner Female Practitioner

Dr. Stasha S Lewis , MD

Pediatrics • Riverton, UT

Professional Overview & Biography Verified Profile Summary

Dr. Stasha Lewis, MD is a registered healthcare professional specializing in Pediatrics in Riverton, UT. Practice services are available at 3723 W 12600 S STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3723 W 12600 S Ste 150

Riverton, UT 840657296

Telephone 8012854561
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1053441238

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Riverton, UT (688 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 10122609-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX M6258

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MN 51747

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1073907119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 3723 W 12600 S STE 150, RIVERTON, UT 840657296 (Tel: 8012854561)

📍
Updated Business Mailing Address January 19, 2017

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8012854561)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as STASHA LEWIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Pediatrics (License #10122609-1205 in UT)

NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2016

Registered at 400 AUSTIN ST, RICHMOND, TX 774694406 (Tel: 2813424530)

📍
Updated Business Mailing Address December 12, 2016

Registered at 701 FAIRVIEW BLVD, PO BOX 95, RED WING, MN 550662848 (Tel: 6512675500)

👤
Provider Name / Credentials Updated December 12, 2016

Recorded as STASHA LEWIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Pediatrics (License #M6258 in TX)

🟢
Initial NPI Registration & Enumeration May 25, 2007

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: 1164633715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: January 19, 2017
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8012854561

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.