DR. ROBERT C MCEWAN (NPI# 1558468587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558468587 |
| Entity Type | Individual |
| Full Name | DR. ROBERT C MCEWAN |
| Credential | MD |
| Practice Address |
756 Ridge Lake Blvd Suite 120 Memphis TN 38120-9420 |
| Mailing Address |
328 S Goodlett St Memphis TN 38117-3604 |
| Practice Telephone | 9016852311 |
| Practice Fax Number | 9017614062 |
| Mailing Telephone | 9013232646 |
| Mailing Fax Number | 9017614062 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
TN5234 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUS SHIELD | 2005854 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053328401 | Robert Berry Mcewan | Optometrist | 3320 Veterans Dr, Pekin, IL 61554-9317 | 2006-08-01 |
| Street Address |
756 RIDGE LAKE BLVD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216678 | Mary C Peterson | Physical Therapist | 756 Ridge Lake Blvd, Ste 205, Memphis, TN 38120-9445 | 2006-02-27 |
| 1497158588 | Richard Brett Prentiss | Physical Therapist | 756 Ridge Lake Blvd, #205, Memphis, TN 38120-9420 | 2014-10-02 |
| 1932431327 | Marcy C Purnell | Nurse Practitioner | 756 Ridge Lake Blvd, Suite 206, Memphis, TN 38120-9420 | 2010-02-09 |
| 1336380096 | Cathy Lee Richardson | Physical Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2009-03-10 |
| 1730304916 | Titilola Tolulope Adebanjo | Nurse Practitioner | 756 Ridge Lake Blvd, Suite 228, Memphis, TN 38120-9420 | 2007-04-14 |
| 1477695948 | Heather Vinicki Couvillion | Physical Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2007-02-13 |
| 1811041668 | Goodlife Medical Center, Pllc | Internal Medicine | 756 Ridge Lake Blvd, Suite 228, Memphis, TN 38120-9420 | 2007-01-22 |
| 1851482426 | Quality Health Pllc | Internal Medicine | 756 Ridge Lake Blvd, 228, Memphis, TN 38120-9420 | 2006-09-27 |
| 1073626578 | Drewry Family Medicine LLC | Family Medicine | 756 Ridge Lake Blvd, Suite 120, Memphis, TN 38120-9420 | 2006-08-17 |
| 1528074440 | Jennifer H Henderson | Occupational Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603584 | Tiffany Hill | Family Medicine | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-03-10 |
| 1336655745 | Lori Smith | Family Medicine | 6005 Park Ave Ste 400, Memphis, TN 38119-5214 | 2017-12-20 |
| 1780837724 | Greater Memphis Mobile Medical, LLC | Family Medicine | 5225 Glynbourne Pl, Memphis, TN 38117-4564 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902177 | R&m Consultants LLC | Family Medicine | 208 N Roan St, Johnson City, TN 37601-4735 | 2020-04-27 |
| 1124656616 | Carebridge Medical Group, PC | Family Medicine | 926 Main St Ste B, Nashville, TN 37206-3614 | 2020-03-30 |
| 1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
| 1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
| 1871928556 | Shirley Gravenor | Family Medicine | 2636 Park Creek Dr, Germantown, TN 38139-6556 | 2013-09-12 |
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1447503842 | Charlene Crowder Matthews | Family Medicine | 157 Highway 25 E, Newport, TN 37821-8157 | 2012-10-23 |
| 1295007730 | Anthony Glen Justice | Family Medicine | 11911 Kingston Pike, Suite 201, Knoxville, TN 37934-4602 | 2012-01-30 |
| 1386878957 | Holly Spurlock Blankenship | Family Medicine | 370 Doolittle Rd Ste 1, Woodbury, TN 37190-1129 | 2009-05-11 |
| 1447454525 | Gay Kirchner Battle | Family Medicine | 2309 Granite Dr, Johnson City, TN 37604-2172 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
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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.