Individual
DONALD RYAN LEWIS JR.
Active
Individual
DONALD RYAN LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18979
WV
2085R0202X
Diagnostic Radiology Physician
33032
KY
2085R0202X
Diagnostic Radiology Physician
35.080554
OH
2085R0202X
Diagnostic Radiology Physician
DO041346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196333
UNISON
OH
01
—
001718777
MTN STATE BCBS
—
05
—
012206000
—
WV
05
—
2018739
—
OH
01
—
300081882
RR MEDICARE (WV)
WV
01
—
50007262
PASSPORT
KY
01
—
5389160
AETNA
—
01
—
550493376
WORKMANS COMP
WV
05
—
6494193300
—
KY
01
—
P00766025
RR MEDICARE (KY)
KY
Enumeration date
12/22/2005
Last updated
04/18/2024
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