Ewa M Paszkiewicz, MD
Individual provider Active NPI Family Medicine Physician · Ripon, WI
NPI 1710146097 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1710146097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 52194 (WI)
- Practice address
- 835 Parkside St
Ripon, WI 54971-8505 - Phone
- (920) 745-3520
- Fax
- (920) 745-7932
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agnesian Healthcare Inc
Practice addresses (Care Compare)
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300
835 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
Hospital & facility affiliations
- SSM Health at Home Home Health - Fond Du Lac
- Ripon Medical Center
- SSM Health St Agnes Hospital-Fond Du Lac
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120918000860 | WI | Practitioner - Family Practice | 5890964175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52194 | WI | MD | Family Medicine Physician |
| 01069534A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current |
Accepting new patients |
Locations
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
835 Parkside St
Ripon, WI 54971
Phone (920) 745-3520
Interoperability endpoints
- epaszkiewicz330724@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01069534A | IN | |
| Family Medicine Physician | 207Q00000X | 01069534A | IN | |
| Family Medicine Physician | 207Q00000X | 52194 | WI | Yes |
Addresses
Primary practice location
835 Parkside St
Ripon, WI 54971-8505
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-8340
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | epaszkiewicz330724@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Ripon, WI
- Cheyenne Oelerich
- Kaite Olund
- Orthopedic & Sports Medicine Specialists of Green Bay, SC
- Jacqueline Page
- Rachel Palmy Pallex
- Bailey J Patterson
- Autumn Susan Pawlowski
- Madeline M Pereira
- Zachariah Pickart
- Angela Pickhard
All providers in Ripon, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.