Individual provider Active NPI

William Paul Ewers, PA-C

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1659110369
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA3527 Issued in KY
Practice address
4384 Clearwater Way Ste 190
Lexington, KY 40515-6493
Phone
(859) 233-4511
Fax
(859) 396-5934
NPI assigned
May 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X PA3527 KY
Family Medicine Physician 207Q00000X PA3527 KY Primary

Addresses

Primary practice location

4384 Clearwater Way Ste 190
Lexington, KY 40515-6493

Mailing address

4384 Clearwater Way Ste 190
Lexington, KY 40515-6493
Phone (859) 403-3385

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA3527KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rewind Medical, LLC Health & Wellness Coach CurrentSince Jun 29, 2025 Accepting new patients

Locations

4384 Clearwater Way
Ste 190
Lexington, KY 40515
Phone (859) 403-3385

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1659110369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 CLEARWATER WAY STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156493",
            "telephone_number": "859-403-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 CLEARWATER WAY STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156493",
            "telephone_number": "859-233-4511",
            "fax_number": "859-396-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERS",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "KY",
            "license": "PA3527",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "PA3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.