NPIMap

Individual provider Active NPI

Stephen N Ewer, MD

  • Cardiovascular Disease Physician
  • Richland, WA
National Provider Identifier
1457395071
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00033936 Issued in WA
Practice address
1100 Goethals Dr
Kadlec Inland Cardiology
Richland, WA 99352-3304
Phone
(509) 946-2699
Fax
(509) 946-2675
NPI assigned
Jun 15, 2006
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD20233 OR
Cardiovascular Disease Physician 207RC0000X MD00033936 WA Primary

Addresses

Primary practice location

1100 Goethals Dr
Kadlec Inland Cardiology
Richland, WA 99352-3304

Mailing address

3900 S Zintel Way
Kennewick, WA 99338
Phone (509) 942-3627

Other identifiers 3

IdentifierTypeStateIssuer
0311418OtherWAL&I
1457395071MedicaidWA
209353MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sewer1113502@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051017000315 OR Practitioner - Cardiovascular Disease (Cardiology) 7911807573 Reassigns benefits to 1 organization
I20100831000766 WA Practitioner - Cardiovascular Disease (Cardiology) 7911807573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Nevada School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

3900 S Zintel Way
Suite 110
Kennewick, WA 99337-5092
Phone (509) 942-3125

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jan 1, 2012 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 1, 2013 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 1, 2013 Accepting new patients
Inland Cardiology Associates, P.S. Cardiovascular Disease CurrentSince Jan 1, 1999 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiology Associates of Tri-Cities LLC Cardiovascular Disease Past Accepting new patients

Locations

1050 W Elm Ave
Ste 140
Hermiston, OR 97838
Phone (541) 564-6411

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

9605 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 942-3170

1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

900 Stevens Dr
Ste 101
Richland, WA 99352
Phone (509) 942-3163

Interoperability endpoints

  • Direct secure messaging: sewer1113502@wm.providencedirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1457395071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DR",
            "address_2": "KADLEC INLAND CARDIOLOGY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523304",
            "telephone_number": "509-946-2699",
            "fax_number": "509-946-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWER",
        "first_name": "STEPHEN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD20233",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00033936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0311418",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457395071",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209353",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sewer1113502@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 GOETHALS DR",
            "address_2": "Kadlec Inland Cardiology",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.