Provider Demographics
NPI:1447203047
Name:OFSTEIN, LEWIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:C
Last Name:OFSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5009
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5009
Mailing Address - Country:US
Mailing Address - Phone:605-977-5000
Mailing Address - Fax:605-977-5377
Practice Address - Street 1:4520 W 69TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8148
Practice Address - Country:US
Practice Address - Phone:605-977-5000
Practice Address - Fax:605-977-5377
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2506208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
18-00049OtherMEDICA SELECTCARE
24692OtherHEALTH PARTNERS
IA0017216OtherSD BCBS
SD2506OtherDAKOTACARE
MN496L1OFOtherMN BLUE SHIELD
931451029041OtherPREFERRED ONE
MN336508500Medicaid
IA0931949Medicaid
MN91058OFOtherMN BCBS - PLAN 91057NO
165031OtherUCARE
SD7300620Medicaid
MN496L1OFOtherMN BLUE SHIELD
SD2506OtherDAKOTACARE
931451029041OtherPREFERRED ONE
IA539830003Medicare PIN