MR. PETER WALLACE LEWIS PA-C
NPI 1205932944
Physician Assistant - Surgical in Sesser, IL

Active since September 16, 2006
6294 STATE HIGHWAY 154, SESSER, IL 62884(618) 625-6979 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter Wallace Lewis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER WALLACE LEWIS PA-C (NPI 1205932944) is an individual surgical provider in Sesser, Illinois, licensed in Texas (PA01533) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1205932944
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PETER WALLACE LEWISCredential: PA-C
Location Address6294 STATE HIGHWAY 154Sesser, IL 62884-2163
Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2401 · Fax (618) 724-4628
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 18, 2012
NPI 1205932944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA01533
6294 STATE HIGHWAY 154, Sesser, IL 62884

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Nurse Practitioner (Family)
6294 STATE HIGHWAY 154
SESSER, IL 62884
Licensed Practical Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Dental Hygienist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Clinic/Center (Federally Qualified Health Center (FQHC))
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Nurse Practitioner
6294 STATE HIGHWAY 154
SESSER, IL 62884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Lewis's NPI number?

The NPI number for Peter Lewis is 1205932944. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Peter Lewis located?

Peter Lewis practices at 6294 State Highway 154, Sesser, IL 62884. The listed phone number is (618) 625-6979.

What is Peter Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Peter Lewis was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.