Active NPI
James Max McEwan, CRNA
- Certified Registered Nurse Anesthetist
- Sunnyvale, TX
National Provider Identifier
1336169366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 33099
- Practice address
- 614 Pecan Creek Dr
Sunnyvale, TX 75182-9631 - Phone
- (972) 226-1091
- Fax
- (972) 226-2911
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 33099 | TX | Primary |
Addresses
Primary practice location
614 Pecan Creek Dr
Sunnyvale, TX 75182-9631
Mailing address
614 Pecan Creek Dr
Sunnyvale, TX 75182-9631
Phone (972) 226-1091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD-72 | Other | TX | BLUE CROSS-BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33099 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Anesthesia Partners LLC | Current | Accepting new patients | |
| Tracy C. Woehl Crna, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Surgery Center of Texas LP | Past | Accepting new patients |
Locations
2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458
600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Ennis, TX
- NPI 1861288649
-
- Ambulatory Surgical Clinic/Center
- Plano, TX
- NPI 1811299829
-
- Certified Registered Nurse Anesthetist
- Plano, TX
- NPI 1174847925
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1336169366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 PECAN CREEK DR",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829631",
"telephone_number": "972-226-1091",
"fax_number": "972-226-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 PECAN CREEK DR",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829631",
"telephone_number": "972-226-1091",
"fax_number": "972-226-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWAN",
"first_name": "JAMES",
"middle_name": "MAX",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "33099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "SD-72",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.