Provider Demographics
NPI:1336368505
Name:LEWIS, SCOTT FRANCIS (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:FRANCIS
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:FRANCIS
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:26 OXFORD WAY STE A
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2813
Mailing Address - Country:US
Mailing Address - Phone:606-802-2300
Mailing Address - Fax:606-802-2400
Practice Address - Street 1:26 OXFORD WAY
Practice Address - Street 2:SUITE D
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2813
Practice Address - Country:US
Practice Address - Phone:606-802-2300
Practice Address - Fax:606-802-2400
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03390207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY03390OtherKENTUCKY LICENSE