Shawn A Ewbank

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD21648 Issued in OR

Practice address

452 NW 1St Ave
Canby, OR 97013-3532

Phone

(503) 266-9000

Fax

(503) 266-9200

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pioneer Family Medicine PC

  • Family Medicine Physician
  • Canby, OR
  • NPI 1760654479
  NPD Authorized official
• Division Street Family Practice Clinic PC

  • Family Medicine Physician
  • Oregon City, OR
  • NPI 1659316131
  NPD (past)
• Molalla Medical Clinic

  • Internal Medicine Physician
  • Molalla, OR
  • NPI 1316013949

  Family Medicine

  NPD (past)
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1326039892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133532",
            "telephone_number": "503-266-9000",
            "fax_number": "503-266-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133532",
            "telephone_number": "503-266-9000",
            "fax_number": "503-266-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWBANK",
        "first_name": "SHAWN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133934",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empower and Thrive Behavioral Services, LLC
• Edelina Lanzon Espiritu, COTA
• John M Evans, RPH
• Lydia Evans
• Matthew Eveleigh, ATR-BC, LPC
• Family Health Practitioners Clinic PC
• Susan Troy Fee, ANP GNP
• Sara Fender, MA, LPC
• Faith Fennimore
• Anthony A Ferroggiaro, MD

• Family Medicine Physician in Canby, OR
• Providers in Canby, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.