LOIS ARCHER KILLEWICH MD NPI 1316058274

NPI Information

NPI: 1316058274
Provider Name: LOIS ARCHER KILLEWICH, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
4502 MEDICAL DR
3RD FLOOR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 358-2074
Get Directions

Lois Archer Killewich, MD is a vascular surgery surgery in San Antonio, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Lois Archer Killewich, MD NPI is 1316058274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4502 MEDICAL DR
3RD FLOOR
SAN ANTONIO, TX
ZIP 78229-402
Phone: (210) 358-2074
Fax: (210) 358-4779

The NPI 1316058274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		L9764	TEXAS	No
2	2086S0102X	Surgery	Surgical Critical Care	L9764	TEXAS	No
3	2086S0129X	Surgery	Vascular Surgery	L9764	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E58403	MEDICARE UPIN	TEXAS
2	276503YK00	MEDICARE PIN	TEXAS
3	100476403	MEDICAID	TEXAS
4	100476404	OTHER	TEXAS	MEDICAID CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »