Individual provider Active NPI

Ember Lee Ewings, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Eau Claire, WI
National Provider Identifier
1205038957
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
54757-20 Issued in WI
Practice address
3221 Stein Blvd Ste 2
Eau Claire, WI 54701-4399
Phone
(157) 833-2116
Fax
(715) 833-1068
NPI assigned
Jun 4, 2007
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 54757-20 WI Primary

Addresses

Primary practice location

3221 Stein Blvd Ste 2
Eau Claire, WI 54701-4399

Mailing address

3221 Stein Blvd Ste 2
Eau Claire, WI 54701-4399
Phone (157) 833-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100909001149 WI Practitioner - Plastic and Reconstructive Surgery 8921123241 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54757-20WIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Clinic of Ec, S.C. Single Specialty CurrentSince Jan 10, 2021 Accepting new patients
MCHS Hospitals Inc Single Specialty Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 5, 2019 Accepting new patients
Marshfield Clinic Inc Single Specialty CurrentSince Aug 30, 2010 Accepting new patients
MCHS Hospitals Inc Single Specialty CurrentSince Mar 5, 2019 Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

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

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1020 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 236-8100

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1205038957",
    "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": "157-833-2116",
            "fax_number": "715-833-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014399",
            "telephone_number": "157-833-2116",
            "fax_number": "715-833-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWINGS",
        "first_name": "EMBER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "54757-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.