Provider Demographics
NPI:1962455519
Name:LEWIN, ALBERT READ (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:READ
Last Name:LEWIN
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 1:860 PARRIS ISLAND GTWY
Mailing Address - Street 2:SUITE B2
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-6921
Mailing Address - Country:US
Mailing Address - Phone:843-986-9292
Mailing Address - Fax:843-986-9292
Practice Address - Street 1:860 PARRIS ISLAND GTWY
Practice Address - Street 2:SUITE B2
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-6921
Practice Address - Country:US
Practice Address - Phone:843-986-9292
Practice Address - Fax:843-986-9292
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11027174400000X
SC11207207YX0602X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC110276Medicaid
SC202019697OtherMULTIPLAN
SC202019697OtherTRICARE
SC20045633OtherSELECT HEALTH
SC202019697OtherBLUE CHOICE (COMPANION)
SCP00269415OtherRAILROAD MEDICARE
SC202019697OtherHEALTHCARE SAVINGS
SC202019697OtherPREMIER HEALTH
SCD85508Medicare UPIN
SCD855080281Medicare ID - Type Unspecified