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Gary W Mcewen

Dermatologist Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon

276 Ne Tudor Rd
Lees Summit , Missouri 64086-5696

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist
  • MOHS-Micrographic Surgeon
  • Pediatric Dermatologist
  • Procedural Dermatology

Languages spoken

  • English

Location

276 Ne Tudor Rd Lees Summit , Missouri 64086-5696

First Address

  • Gary W Mcewen
  • 276 Ne Tudor Rd
  • Lee's Summit, MO
  • Zip : 64086-5696
  • Fax : (816) 525-0185
  • Phone : (816) 525-8500

Second Address

  • Gary W Mcewen
  • 276 Ne Tudor Rd
  • Lee's Summit, MO
  • Zip : 64086-5696
  • Fax : (816) 525-0185
  • Phone : (816) 525-8500

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FAQs


Where did Gary W Mcewen attend graduate school?

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Where did Gary W Mcewen do his residency?

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Where did Gary W Mcewen do his fellowship?

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Is Gary W Mcewen board certified?

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What type of doctor is Gary W Mcewen

Dermatologist

In what state does Gary W Mcewen practice in?

Missouri

Where is Gary W Mcewen ’s practice located?

276 Ne Tudor Rd , Lees Summit, Missouri, 64086-5696

What is Gary W Mcewen ’s gender?

Male

Is Gary W Mcewen a sole practitioner?

No

Is Gary W Mcewen accepting new patients?

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What languages does Gary W Mcewen speak?

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Does Gary W Mcewen accept insurance?

Yes, Gary W Mcewen accepts insurance

Does Gary W Mcewen offers telemedicine?

Gary W Mcewen has not indicated if he offers telemedicine

What is Gary W Mcewen ’s professional license number?

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What is Gary W Mcewen ’s NPI number?

1477554657

Does Gary W Mcewen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist R9N60 MO
N 207ND0101X MOHS-Micrographic Surgeon R9N30 MO
N 207NP0225X Pediatric Dermatologist R9N30 MO
N 207NS0135X Procedural Dermatology R9N30 MO

National Provider Identifier

NPI 1477554657
Provider Name Gary W Mcewen
First Address Lee's Summit, MO 64086-5696
Second Address Lee's Summit, MO 64086-5696
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 10/08/2005
Last Update Date 22/08/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
G68624 (02) MO
P00412861 RAILROAD PTAN (01) MO

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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