Organization
NEW DERMATOLOGY GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVAN G LEWIS MD (OWNER)
(920) 965-0345
Entity
Organization
Contact information
Practice address
2360 DUCK CREEK PKWY, HOWARD, WI 54303-3300
(920) 965-0345
Mailing address
3059 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 965-0345
(920) 273-6011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/02/2012
Last updated
07/28/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up