Provider Demographics
NPI:1316381106
Name:LEWIS, ERIK ELLINGSON (MD)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ELLINGSON
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:982315 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2315
Mailing Address - Country:US
Mailing Address - Phone:402-559-4389
Mailing Address - Fax:402-589-4499
Practice Address - Street 1:505 SOUTH 45TH STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198
Practice Address - Country:US
Practice Address - Phone:402-559-4389
Practice Address - Fax:402-559-4499
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI70993208G00000X
390200000X
NE34820208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program