NPIMap

Organization Active NPI

Ewing-Ear, Nose & Throat

  • Otolaryngology Physician
  • Campbellsville, KY
National Provider Identifier
1467502534
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
29697 Issued in KY
Legal business name
EWING-EAR, NOSE & THROAT
Practice address
105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9617
Phone
(270) 465-3595
Fax
(270) 789-2044
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. James E Ewing, MDNPI 1376532564
Title
Owner
Phone
(270) 465-3595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 29697 KY Primary

Addresses

Primary practice location

105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9617

Mailing address

105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9617
Phone (270) 465-3595

Other identifiers 2

IdentifierTypeStateIssuer
65931966MedicaidKY
000000054088OtherKYANTHEM BLUE CROSS GROUP

National Provider Directory

National Provider Directory

Locations

105 Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 283-4253

105 Greenbriar Dr
#A
Campbellsvlle, KY 42718
Phone (270) 465-3395

2645 Bardstown Rd
Saint Catharine, KY 40061
Phone (859) 336-3559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1467502534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING-EAR, NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-465-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "29697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931966",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS GROUP",
            "identifier": "000000054088",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.