Robert Kenneth Ewing II, D.O.

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

449 Issued in NV

Practice address

645 Sierra Rose Dr.
Suite 103
Reno, NV 89509

Phone

(775) 322-3011

Fax

(775) 322-1849

NPI assigned

Apr 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1770017394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114025",
            "telephone_number": "775-322-3011",
            "fax_number": "775-322-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR.",
            "address_2": "SUITE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-322-3011",
            "fax_number": "775-322-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NV",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health-Reno
• Evolve Psychiatry PLLC
• Evolved Incorporated
• Connie S Ewing
• Pricila Madrigal Ewing, SLP
• Excel Foster Care Agency
• Excellence Home Care Services
• Expressions Behavioral Health Services, Inc.
• Eye Care Professionals
• Eye Surgery Center of Northern Nevada, LLC

• Obesity Medicine (Family Medicine) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Obesity Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.