Individual
GARY W MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276 NE TUDOR RD, LEE'S SUMMIT, MO 64086-5696
(816) 525-8500
(816) 525-0185
Mailing address
276 NE TUDOR RD, LEE'S SUMMIT, MO 64086-5696
(816) 525-8500
(816) 525-0185
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R9N60
MO
207ND0101X
MOHS-Micrographic Surgery Physician
R9N30
MO
207NP0225X
Pediatric Dermatology Physician
R9N30
MO
207NS0135X
Procedural Dermatology Physician
R9N30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00412861
RAILROAD PTAN
MO
Enumeration date
08/10/2005
Last updated
08/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us