DR. SCOTT E EWING (NPI# 1114946993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114946993 |
| Entity Type | Individual |
| Full Name | DR. SCOTT E EWING |
| Credential | DC |
| Practice Address |
705 John Sims Pkwy W Niceville FL 32578-1878 |
| Practice Telephone | 8506788048 |
| Practice Fax Number | 8506782629 |
| Mailing Telephone | 8506788048 |
| Mailing Fax Number | 8506782629 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0007070 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHILED | 55426 | 01 |
| FL | RAILROAD MEDICARE | P00022029 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175243 | Scott Douglass Ewing | General Practice | 20001 Beach Blvd, Huntington Beach, CA 92648-3738 | 2010-05-18 |
| 1609800499 | Scott E Ewing | Psychiatry & Neurology | 350 Boylston St Apt 106, Newton Center, MA 02459-2875 | 2006-07-10 |
| 1760461800 | Scott E Ewing | Emergency Medicine | 508 S Adams St Ste 100, Fort Worth, TX 76104-2151 | 2006-01-16 |
| 1447787882 | Scott Edward Ewing | Family Medicine | 1355 Ramar Rd Ste 11, Bullhead City, AZ 86442-7100 | 2017-05-16 |
| 1528485190 | Scott Gavin Ewing | Dentist | 6654 Koll Center Pkwy, #350, Pleasanton, CA 94566 | 2014-03-21 |
| Street Address |
705 JOHN SIMS PKWY W |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519165 | Emerald Coast Chiropractic Inc | Chiropractor | 705 John Sims Pkwy W, Niceville, FL 32578-1878 | 2006-07-14 |
| 1962876623 | Ewing Family Chiropractic Inc | Chiropractor | 705 John Sims Pkwy W, Niceville, FL 32578-1878 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316991 | Joe Palmer Chiropractic LLC. | Chiropractor | 206 Edrehi Dr, Niceville, FL 32578-2933 | 2017-03-06 |
| 1346693439 | George Ryan Blackman | Chiropractor | 902b Palm Blvd S, Niceville, FL 32578-2603 | 2016-07-13 |
| 1093106080 | Justin Turner | Chiropractor | 101 Monarch Cir, Niceville, FL 32578-3150 | 2015-02-11 |
| 1457683245 | Bambi R Denais | Chiropractor | 4400 E Highway 20 Ste 207, Niceville, FL 32578-7700 | 2010-02-04 |
| 1225282155 | Henard Family Chiropractic, Inc. | Chiropractor | 4566 E Highway 20 Ste 205, Niceville, FL 32578-8839 | 2008-11-05 |
| 1780865311 | Pro Active Chiropractic Group Inc | Chiropractor | 4591 E Highway 20 Ste 201, Niceville, FL 32578-8845 | 2007-11-26 |
| 1780691311 | Edward T. Johnson | Chiropractor | 600 John Sims Pkwy E, Niceville, FL 32578-2030 | 2006-08-03 |
| 1619996493 | Dean C Jacks | Chiropractor | 1550 John Sims Pkwy E, Niceville, FL 32578-2138 | 2006-07-19 |
| 1871519165 | Emerald Coast Chiropractic Inc | Chiropractor | 705 John Sims Pkwy W, Niceville, FL 32578-1878 | 2006-07-14 |
| 1174596845 | Timothy Lynn Zook | Chiropractor | 1148 John Sims Pkwy E, Niceville, FL 32578-2204 | 2006-02-10 |
| Find all providers in NICEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.