Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Samuel Grady Lewis, RTR, RPA, RA, CBRPA

Individual provider Radiography Radiologic Technologist · NPI 1376735415

Mr. Samuel Grady Lewis, RTR, RPA, RA, CBRPA is a Radiography Radiologic Technologist in Ponca City, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

308 Fairview Ave
Ponca City, OK 74601-2001
Phone: (580) 765-9588
Fax: (580) 762-1367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X

Record details

NPI number1376735415
Entity typeIndividual (Type 1)
GenderMale
Credentials RTR , RPA , RA , CBRPA
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007