Organization Active NPI

Plastic Surgery Clinic of Ec, S.C.

  • Plastic Surgery Physician
  • Durand, WI
National Provider Identifier
1073101655
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY CLINIC OF EC, S.C.
Practice address
1220 3Rd Ave W
Durand, WI 54736-1600
Phone
(715) 672-4211
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ember Lee Ewings, M.D.NPI 1205038957
Title
Owner/Physician
Phone
(715) 833-2116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

1220 3Rd Ave W
Durand, WI 54736-1600

Mailing address

3221 Stein Blvd Ste 2
Eau Claire, WI 54701-4399
Phone (715) 833-2116

Other practice location 1

3221 Stein Blvd Ste 2
Eau Claire, WI 54701-4399
Phone (715) 833-2116

National Provider Directory

National Provider Directory

Locations

3221 Stein Blvd
Ste 2
Eau Claire, WI 54701
Phone (715) 833-2116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1073101655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014399",
            "telephone_number": "715-833-2116",
            "fax_number": "715-833-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Stein Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014399",
            "country_code": "US",
            "telephone_number": "715-833-2116",
            "fax_number": "715-833-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLASTIC SURGERY CLINIC OF EC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "EWINGS",
        "authorized_official_first_name": "EMBER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "715-833-2116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durand, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.