Organization Active NPI

Thomas L. Ewing MD, Apmc

  • Urology Physician
  • Gonzales, LA
National Provider Identifier
1083683692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
02654 Issued in LA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1420701MedicaidLA

Other names 1

  • Ascension Urology Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.