NPIMap

Organization Active NPI

Michael a McEwen, M.D., P.a.

  • Ophthalmology Physician
  • Gadsden, AL
National Provider Identifier
1770692659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6989 Issued in AL
Legal business name
MICHAEL A MCEWEN, M.D., P.A.
Practice address
100 Medical Center Dr
Suite 304
Gadsden, AL 35903-1134
Phone
(256) 492-7158
Fax
(256) 492-0774
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A McEwen, M.D.NPI 1023127982
Title
President
Phone
(256) 492-7158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6989 AL Primary

Addresses

Primary practice location

100 Medical Center Dr
Suite 304
Gadsden, AL 35903-1134

Mailing address

100 Medical Center Dr
Suite 304
Gadsden, AL 35903-1134
Phone (256) 492-7158

Other identifiers 1

IdentifierTypeStateIssuer
03541OtherALBCBS-AL

National Provider Directory

National Provider Directory

Locations

100 Medical Center Dr
Ste 304
Gadsden, AL 35903
Phone (256) 492-7158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770692659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE 304",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-492-7158",
            "fax_number": "256-492-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE 304",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-492-7158",
            "fax_number": "256-492-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A MCEWEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-492-7158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "6989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL",
            "identifier": "03541",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.