Individual provider Active NPI

Deborah Louise Ewing-Wilson, D.O.

  • Neurology Physician
  • Twinsburg, OH
National Provider Identifier
1124133483
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34-003734 Issued in OH
Practice address
8819 Commons Blvd
Twinsburg, OH 44087-4101
Phone
(330) 954-7233
Fax
(216) 201-4620
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 34-003734 OH Primary

Addresses

Primary practice location

8819 Commons Blvd
Twinsburg, OH 44087-4101

Mailing address

8819 Commons Blvd Ste 200
Twinsburg, OH 44087-4103
Phone (330) 954-7233

Other identifiers 1

IdentifierTypeStateIssuer
0895689MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address deborahewingwilson@uhps.allscriptsdirect.net
Direct Messaging Address deborahewing-wilson@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000082 OH Practitioner - Neurology 8820072598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Chicago College of Osteopathy, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 383-0100

Hospital & facility affiliations

  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-003734OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dewingwilson113978@direct.metrohealth.org
  • Direct secure messaging: dewingwilson37003@ehrdirect.uhhospitals.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1124133483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD STE 200",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874103",
            "telephone_number": "330-954-7233",
            "fax_number": "216-201-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874101",
            "telephone_number": "330-954-7233",
            "fax_number": "216-201-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING-WILSON",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34-003734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895689",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborahewingwilson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6847 N Chestnut St",
            "city": "Ravenna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442663929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborahewing-wilson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "8819 Commons Blvd",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440874101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.