Provider Demographics
NPI:1881603751
Name:LEWIS, AARON S (DPM)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:S
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MERCANTILE LN STE 204
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5340
Mailing Address - Country:US
Mailing Address - Phone:301-850-2170
Mailing Address - Fax:800-397-9601
Practice Address - Street 1:1300 MERCANTILE LN STE 204
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5340
Practice Address - Country:US
Practice Address - Phone:301-850-2170
Practice Address - Fax:800-397-9601
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300980213ES0131X
PASC005905213ES0131X
MD01440213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1881603751OtherANTHEM BCBS
27-07969OtherEVERCARE
MD012340400Medicaid
DC070800700Medicaid
5374-0019OtherCAREFIRST BCBS
V11028Medicare UPIN
MD012340400Medicaid
022094S20Medicare PIN
P00431004Medicare PIN