Active NPI
Thomas L. Ewing MD, Apmc
- Urology Physician
- Gonzales, LA
National Provider Identifier
1083683692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 02654
- Legal business name
- THOMAS L. EWING MD, APMC
- Practice address
- 1212 Riverview Blvd
Suite 3000
Gonzales, LA 70737-5023 - Phone
- (225) 743-2444
- Fax
- (225) 743-2448
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Ewing, MD
- Title
- Owner
- Phone
- (225) 743-2444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 02654 | LA | Primary |
Addresses
Primary practice location
1212 Riverview Blvd
Suite 3000
Gonzales, LA 70737-5023
Mailing address
1212 Riverview Blvd
Suite 3000
Gonzales, LA 70737-5023
Phone (225) 743-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1420701 | Medicaid | LA |
Other names 1
- Ascension Urology
National Provider Directory
National Provider DirectoryLocations
1212 Riverview Blvd
Ste 3000
Gonzales, LA 70737
Phone (225) 743-2080
3525 Prytania St
Ste 614
New Orleans, LA 70115
Phone (504) 891-8454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083683692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 RIVERVIEW BLVD",
"address_2": "SUITE 3000",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375023",
"telephone_number": "225-743-2444",
"fax_number": "225-743-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 RIVERVIEW BLVD",
"address_2": "SUITE 3000",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375023",
"telephone_number": "225-743-2444",
"fax_number": "225-743-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L. EWING MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EWING",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-743-2444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "LA",
"license": "02654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1420701",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ascension Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.