Individual provider Active NPI

Scott E Ewing, D.O.

  • Psychiatry Physician
  • Newton Center, MA
National Provider Identifier
1609800499
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
74133 Issued in MA
Practice address
350 Boylston St Apt 106
Newton Center, MA 02459-2875
Phone
(617) 233-0344
Fax
(617) 467-4162
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 74133 MA Primary

Addresses

Primary practice location

350 Boylston St Apt 106
Newton Center, MA 02459-2875

Mailing address

350 Boylston St Apt 106
Newton Center, MA 02459-2875
Phone (617) 233-0344

Other practice location 1

University Place
124 Mt.Auburn Street; Ste 200N
Cambridge, MA 02138
Phone (617) 233-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1609800499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BOYLSTON ST APT 106",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592875",
            "telephone_number": "617-233-0344",
            "fax_number": "617-467-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOYLSTON ST APT 106",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592875",
            "telephone_number": "617-233-0344",
            "fax_number": "617-467-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Place",
            "address_2": "124 Mt.Auburn Street; Ste 200N",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02138",
            "country_code": "US",
            "telephone_number": "617-233-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "74133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.