Individual provider Active NPI

Willie B Ewing, M.D.

  • Family Medicine Physician
  • Lemoore, CA
National Provider Identifier
1912954835
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C38731 Issued in CA
Practice address
784 N Lemoore Ave
Lemoore, CA 93245-2329
Phone
(559) 924-5358
Fax
(559) 924-8410
NPI assigned
May 27, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C38731 CA Primary

Addresses

Primary practice location

784 N Lemoore Ave
Lemoore, CA 93245-2329

Mailing address

1524 W Lacey Blvd
Suite 205
Hanford, CA 93230-5965
Phone (559) 583-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001066 CA Practitioner - Family Practice 6406759190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

784 N Lemoore Ave
Willie Ewing MD
Lemoore, CA 93245-2329
Phone (559) 924-5358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Feb 1, 2011 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2011 Accepting new patients
Hanford Primary Care Medical Associates, Inc. Family Medicine Past Accepting new patients

Locations

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1524 W Lacey Blvd
Ste 203
Hanford, CA 93230
Phone (559) 583-4660

1524 W Lacey Blvd
Ste 204
Hanford, CA 93230
Phone (559) 583-4508

1524 W Lacey Blvd
Ste 205
Hanford, CA 93230
Phone (559) 583-4500

784 N Lemoore Ave
Lemoore, CA 93245
Phone (559) 924-5358

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1912954835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 205",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-583-4697",
            "fax_number": "559-583-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 N LEMOORE AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452329",
            "telephone_number": "559-924-5358",
            "fax_number": "559-924-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "WILLIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C38731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.