Robert M Ewart, M.D.
Family Medicine in Springfield, IL. Individual provider (NPI-1).
NPI number1790774172
StatusActive
Last updated in NPPESJun 25, 2009
Details
- NPI
- 1790774172
- Entity type
- Individual (NPI-1)
- Name
- Robert M Ewart
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Jun 25, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036092270 | IL | Yes |
Practice location
520 N 4th StSpringfield, IL 62702-5238
Phone 217-757-8100 · Fax 217-757-8161
Mailing address
Po Box 19670Springfield, IL 62794-9670
Phone 217-757-8100 · Fax 217-757-8161
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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