Active NPI
Karen L Macewan, MD
- Diagnostic Radiology Physician
- Corvallis, OR
National Provider Identifier
1619934064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD20985
- Practice address
- 2314 NW Kings Blvd
Corvallis, OR 97330-3925 - Phone
- (541) 758-5047
- Fax
- (541) 758-3713
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD20985 | OR | Primary |
Addresses
Primary practice location
2314 NW Kings Blvd
Corvallis, OR 97330-3925
Mailing address
2314 NW Kings Blvd
PO Box 1418
Corvallis, OR 97330-3925
Phone (541) 758-5047
Other practice location 1
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150955 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmacewan7644@samhealth.direct-ci.com |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20985 | OR | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1619934064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 NW KINGS BLVD",
"address_2": "PO BOX 1418",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303925",
"telephone_number": "541-758-5047",
"fax_number": "541-758-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 NW KINGS BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303925",
"telephone_number": "541-758-5047",
"fax_number": "541-758-3713"
}
],
"practiceLocations": [
{
"address_1": "930 SW Abbey St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973654820",
"country_code": "US",
"telephone_number": "541-265-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACEWAN",
"first_name": "KAREN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2020-11-05",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD20985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150955",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmacewan7644@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "930 SW Abbey St",
"city": "Newport",
"state": "OR",
"country_code": "US",
"postal_code": "973654820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.