McCrea Ewart MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8834 Issued in SC

Legal business name

MCCREA EWART MD PA

Doing business as

Georgetown Vascular Associate

Practice address

903 N Fraser St # a
Georgetown, SC 29440-2879

Phone

(843) 527-1331

Fax

(843) 527-1332

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Jackson M Ewart, MD

Title

Owner

Phone

(843) 527-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgetown Vascular Associate Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas R Canto, MD

  • Surgery Physician
  • Palmer, MA
  • NPI 1083648976
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1194900282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294421519",
            "telephone_number": "843-527-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N FRASER ST # A",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402879",
            "telephone_number": "843-527-1331",
            "fax_number": "843-527-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCREA EWART MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "EWART",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-527-1331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "8834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3037",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Vascular Associate",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgetown Vascular Associate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Marshall, OTR/L
• Jerry Nell Martin, RN
• Brian L Maxwell, CACII, NCACI
• Eugene V Mayeaux II, M.D.
• Walter A. Mayo, O.D.
• McCrea Ewart MD PA (Low Country Surgical Associates)
• Dalzell Ginn McDilda, M.ED.CCC-SLP
• Deborah R. McKee, C.N.M.
• Edna Elizabeth McMillan, RN, BSN,CDE
• Jeffrey David Meinert

• Surgery Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.