Organization Active NPI

Ewa K. Niewiarowski MD PLLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1932277225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6662 Issued in TX
Legal business name
EWA K. NIEWIAROWSKI MD PLLC
Practice address
6300 W Parker Rd
Mob 2 Suite 422
Plano, TX 75093-8100
Phone
(972) 981-3840
Fax
(972) 981-3842
NPI assigned
Dec 3, 2006
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. Ewa Krystyna Niewiarowski, MD
Title
President
Phone
(972) 981-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K6662 TX Primary

Addresses

Primary practice location

6300 W Parker Rd
Mob 2 Suite 422
Plano, TX 75093-8100

Mailing address

6212 Trailwood Dr
Plano, TX 75024-6023
Phone (972) 981-3840

Other identifiers 4

IdentifierTypeStateIssuer
5990384001OtherTXCIGNA
0100543OtherTXUHC
5299583OtherTXAETNA
0010JQOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

6300 W Parker Rd
Ste 422
Plano, TX 75093
Phone (972) 394-0511

NPI Registry JSON

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932277225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 TRAILWOOD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246023",
            "telephone_number": "972-981-3840",
            "fax_number": "972-981-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "MOB 2 SUITE 422",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-981-3840",
            "fax_number": "972-981-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWA K. NIEWIAROWSKI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEWIAROWSKI",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "KRYSTYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-981-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5990384001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0100543",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5299583",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010JQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

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.