Individual
DR. ROBERT HENRY EWING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
648 N MAIN ST, ASHLAND, OR 97520-1710
(541) 482-8100
(541) 488-5081
Mailing address
648 N MAIN ST, ASHLAND, OR 97520-1710
(541) 482-8100
(541) 488-5081
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD18042
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WCPBQ
MEDICARE GROUP NUMBER
OR
01
—
004515001
BLUE CROSS/BLUE SHIELD
OR
05
—
053574
—
OR
01
—
180013711
RAILROAD MEDICARE
OR
01
—
180036229
RAILROAD MEDICARE
CA
01
—
18836229
RAILROAD MEDICARE
CA
01
—
4164730003
CIGNA MEDICARE
CA
05
—
GR0063170
—
CA
01
—
ZZZ13445Z
MEDICARE GROUP NUMBER
CA
Enumeration date
06/17/2005
Last updated
06/10/2009
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