Provider Demographics
NPI:1972695765
Name:LEWEY, SCOT MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOT
Middle Name:MICHAEL
Last Name:LEWEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2920 N CASCADE AVE
Mailing Address - Street 2:FL 3
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6262
Mailing Address - Country:US
Mailing Address - Phone:719-636-1201
Mailing Address - Fax:719-636-1326
Practice Address - Street 1:2535 S DOWNING ST
Practice Address - Street 2:SUITE 360
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-260-2740
Practice Address - Fax:303-260-2741
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2021-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO36606207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01366061Medicaid
COE59560Medicare UPIN
CO01366061Medicaid