Organization Active NPI

Robert C. McEwan MD PC

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1376726331
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT C. MCEWAN MD PC
Practice address
756 Ridge Lake Blvd Ste 120
Memphis, TN 38120-9423
Phone
(901) 685-2311
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Ms. Betty Ann Jones
Title
Office Manager
Phone
(901) 685-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

756 Ridge Lake Blvd Ste 120
Memphis, TN 38120-9423

Mailing address

756 Ridge Lake Blvd Ste 120
Memphis, TN 38120-9423
Phone (901) 685-2311

National Provider Directory

National Provider Directory

Locations

756 Ridge Lake Blvd
Ste 120
Memphis, TN 38120
Phone (901) 312-5993

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1376726331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209423",
            "telephone_number": "901-685-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209423",
            "telephone_number": "901-685-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. MCEWAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-685-2311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.