MR. PETER WALLACE LEWIS PA-C NPI 1205932944

NPI Information

  • NPI: 1205932944
  • Provider Name: MR. PETER WALLACE LEWIS, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 6294 STATE HIGHWAY 154
    SESSER, IL
    ZIP 62884
  • Phone: (618) 625-6979

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NPI Details

MR. Peter Wallace Lewis, PA-C is a surgical physician assistant in Sesser, IL. MR. Peter Wallace Lewis, PA-C NPI is 1205932944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6294 STATE HIGHWAY 154
SESSER, IL
ZIP 62884-163
Phone: (618) 625-6979

The enumeration date for this NPI number is 9/16/2006 and was last updated on 1/18/2012.

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
1363AS0400XPhysician AssistantSurgicalPA01533TEXASYes

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: 11/21/2025

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