Active NPI
Lindsay Ewan, M.D.
- General Practice Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101269197
- Practice address
- 3444 Burnet Ave
MLC 4000
Cincinnati, OH 45229-2833 - Phone
- (513) 636-4315
- Fax
- (513) 636-6567
- NPI assigned
- Apr 13, 2009
- Last updated
- Jun 29, 2023
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101269197 | VA | Primary |
Addresses
Primary practice location
3444 Burnet Ave
MLC 4000
Cincinnati, OH 45229-2833
Mailing address
4307 Elmstone Rd
Midlothian, VA 23113-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101269197 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidmed Inc. | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766
Interoperability endpoints
- lindsayewan@kidmed.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1780827352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 ELMSTONE RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231134400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 BURNET AVE",
"address_2": "MLC 4000",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292833",
"telephone_number": "513-636-4315",
"fax_number": "513-636-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWAN",
"first_name": "LINDSAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101269197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.