Provider Demographics
NPI:1598720526
Name:LEWIS, STEVEN JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOHN
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 N LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-4747
Mailing Address - Country:US
Mailing Address - Phone:864-487-4576
Mailing Address - Fax:864-489-0585
Practice Address - Street 1:1506 N LIMESTONE ST
Practice Address - Street 2:SUITE C
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-4747
Practice Address - Country:US
Practice Address - Phone:864-487-4573
Practice Address - Fax:864-489-0585
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17652207VG0400X
SC202726799207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC176525Medicaid
SCGP4213Medicaid
SCGP4210Medicaid
SCSCC2693365OtherMEDICARE PIN
SC202660098OtherGAFFNEY MEDICAL ASSOCIATES
SCG43708Medicare UPIN
SCGP4210Medicaid
SC8291Medicare PIN