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SANDRA J LEWIS M.D. P.L.L.C.
NPI 1487849485
Clinic/Center - Primary Care in Charleston, WV

Active since September 12, 2007
4004 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 926-0172 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra J Lewis M.d. P.l.l.c. NPPES

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

SANDRA J LEWIS M.D. P.L.L.C. (NPI 1487849485) is a healthcare organization registered as a primary care in Charleston, West Virginia and active in the NPI registry since September 2007. The organization lists Sandra J Lewis, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1487849485
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSANDRA J LEWIS M.D. P.L.L.C.
Location Address4004 MACCORKLE AVE SECharleston, WV 25304-1672
Mailing Address4004 Maccorkle Ave SeCharleston, WV 25304-1672 · (304) 926-0172
Phone(304) 926-0172
Organization SubpartNo
Authorized OfficialSandra J LewisOwner/physician · (304) 926-0172
Enumeration DateSeptember 12, 2007
✔ NPI 1487849485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WV · 18980
4004 MACCORKLE AVE SE, Charleston, WV 25304
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0829231WV

Other Providers at the Same Location NPPES

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

SANDRA J LEWIS M.D.
Family Medicine
4004 MACCORKLE AVE SE, SUITE 1A
CHARLESTON, WV 25304
Kanawha County (304) 926-0172

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 Sandra J Lewis M.D. P.L.L.C.'s NPI number?

The NPI number for Sandra J Lewis M.D. P.L.L.C. is 1487849485. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Sandra J Lewis M.D. P.L.L.C. located?

Sandra J Lewis M.D. P.L.L.C. is located at 4004 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 926-0172.

What is Sandra J Lewis M.D. P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sandra J Lewis M.D. P.L.L.C. was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.