Leon W. Lewis, M.D., P.C.

Details

Name:	Leon W. Lewis, M.D., P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	08 Sep 2004 (20 years ago)
Entity Number:	000-237-337
Register Number:	000237337
County:	Madison
Place of Formation:	Madison County
Principal Address:	HUNTSVILLE, AL
Registered Office Street Address:	610 AIRPORT RD STE 200HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code:	35801
Authorized Capital:	$10

Activities MEDICINE PRACTICE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1831382258

2007-08-20

2012-03-15

420 LOWELL DR SE STE 401, HUNTSVILLE, AL, 358013761, US

420 LOWELL DR SE STE 401, HUNTSVILLE, AL, 358013761, US

Contacts

Phone	+1 256-489-8845
Fax	2564898849

Authorized person

Name	DR. LEON W LEWS
Role	CEO
Phone	2564898845

Taxonomy

Taxonomy Code	207V00000X - Obstetrics & Gynecology Physician
License Number	00021281
State	AL
Is Primary	Yes

Other Provider Identifiers

Issuer	BCBS
Number	51000234
State	AL
Issuer	MEDICAID
Number	009979225
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2023

201594333

2024-05-28

LEON W. LEWIS, M.D., P.C.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2022

201594333

2023-02-16

LEON W. LEWIS, M.D., P.C.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2021

201594333

2022-03-28

LEON W. LEWIS, M.D., P.C.

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2020

201594333

2021-04-13

LEON W. LEWIS, M.D., P.C.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2019

201594333

2020-07-14

LEON W. LEWIS, M.D., P.C.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2018

201594333

2019-04-16

LEON W. LEWIS, M.D., P.C.

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2017

201594333

2018-10-10

LEON W. LEWIS, M.D., P.C.

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2016

201594333

2017-07-26

LEON W. LEWIS, M.D., P.C.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2015

201594333

2016-07-28

LEON W. LEWIS, M.D., P.C.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

LEON W. LEWIS, M.D., P.C. RETIREMENT PLAN

2014

201594333

2015-07-28

LEON W. LEWIS, M.D., P.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2564898845
Plan sponsor’s address	420 LOWELL DRIVE, SUITE 401, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2015-07-28
Name of individual signing	LEON LEWIS

Agent

Name	Role
LEWIS, LEON W	Agent

Incorporator

Name	Role
LEWIS, LEON W	Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State