Timothy M. McEwan, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01040005 Issued in IN

Practice address

3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545

Phone

(812) 378-9027

NPI assigned

Aug 30, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: tmcewan11667@edirect.crh.org

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1598874646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SYCAMORE CT STE 1B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031545",
            "telephone_number": "812-378-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SYCAMORE CT STE 1B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031545",
            "telephone_number": "812-378-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 California St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016826",
            "country_code": "US",
            "telephone_number": "812-378-9027",
            "fax_number": "812-378-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01040005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100466500",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV #",
            "identifier": "000000087830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Renee McClellan, P.T.
• Jacqueline McCorkle
• Pamela McCoy, LMHC
• Kevin Joe McCracken, LMHC
• Charles Brian McDermott, D.D.S., M.S.
• Sarah McFarland, RBT
• Katie McGuire, RBT
• Kendra McHenry
• Lisa A McHone, NP, RN
• Elizabeth McIlquham, MC, CCC-SLP

• Anesthesiology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.