Stefanie Kristine Lewis

Family Medicine in Fairborn, OH. Individual provider (NPI-1).

NPI number1053758441

StatusActive

Last updated in NPPESJan 18, 2021

Details

NPI: 1053758441
Entity type: Individual (NPI-1)
Name: Stefanie Kristine Lewis
Sex: Female
Sole proprietor: No
Enumeration date: May 27, 2013
Certification date: Jan 18, 2021
Last updated: Jan 18, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	35.129803	OH	Yes

Practice location

1045 Channingway Dr
Fairborn, OH 45324-9252

Phone 937-878-8645 · Fax 937-878-8646

Mailing address

1045 Channingway Dr
Fairborn, OH 45324-9252

Phone 937-878-8645 · Fax 937-878-8646

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Fairborn, OH

All 16 Family Medicine Physician providers in Fairborn · All 1,095 providers in Fairborn

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