KEITH E MCEWEN JR. (NPI# 1578546180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578546180 |
| Entity Type | Individual |
| Full Name | KEITH E MCEWEN JR. |
| Credential | MD |
| Practice Address |
9669 E 146th St Suite 340 Noblesville IN 46060-5005 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176212500 |
| Practice Fax Number | 3176212503 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01039385 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS BLUE SHIELD | 000000089044 | 01 |
| IN | ANTHEM | 000000781468 | 01 |
| IN | CHAMPUS | I014043 | 01 |
| IN | RR MEDICARE | P01405435 | 01 |
| IN | 100177090A | 05 | |
| IN | AETNA | 2235832 | 01 |
| Street Address |
9669 E 146TH ST SUITE 340 |
| City | NOBLESVILLE |
| State | IN |
| Zip Code | 46060-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521962 | Megan Marie Grindall | Dietitian, Registered | 9669 E 146th St, 250, Noblesville, IN 46060 | 2020-09-08 |
| 1043862196 | Jennifer Lynne Niehoff | Pharmacist | 9669 E 146th St, Noblesville, IN 46060-5005 | 2019-07-09 |
| 1003478371 | Taylor Hibner | Pharmacist | 9669 E 146th St, Noblesville, IN 46060-5005 | 2019-07-08 |
| 1700325982 | Jessica Sarlls | Registered Nurse | 9669 E 146th St, Ste 340, Noblesville, IN 46060-5005 | 2017-02-21 |
| 1760832877 | Lauren Ann Behrle | Pharmacist | 9669 E 146th St, Suite 250, Noblesville, IN 46060-5005 | 2016-06-20 |
| 1235589474 | Daniel Kerner | Pharmacist | 9669 E 146th St, Noblesville, IN 46060-5005 | 2016-06-19 |
| 1760841548 | Priscilla T Rasaki | Nurse Practitioner | 9669 E 146th St, Suite 100, Noblesville, IN 46060-5005 | 2016-02-22 |
| 1508232927 | Marissa Rogoff | Pharmacist | 9669 E 146th St, Suite 250, Noblesville, IN 46060-5005 | 2015-08-19 |
| 1093190381 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 9669 E 146th St, Suite 330, Noblesville, IN 46060-5006 | 2015-07-28 |
| 1851784094 | Andrea Opsal | Nurse Practitioner | 9669 E 146th St, Suite 250, Noblesville, IN 46060-5005 | 2015-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932770 | Leah Marie Jurek | Physical Therapist | 9600 E 146th St, Noblesville, IN 46060 | 2019-06-28 |
| 1770142481 | Allison Elizabeth Tschuor | Speech-Language Pathologist | 9600 E. 146th St., Noblesville, IN 46060 | 2019-06-07 |
| 1700345600 | William Becker | Counselor | 970 Logan St., Noblesville, IN 46060 | 2019-03-19 |
| 1427515550 | Noblesville Assisted Living Group, LLC | Assisted Living Facility | 9600 E. 146th Street, Noblesville, IN 46060 | 2019-02-25 |
| 1568934271 | Papa M Diop | Nurse Practitioner | 9460 E 146th Street, Noblesville, IN 46060 | 2018-12-19 |
| 1205301769 | Noble Eyes, P.C. | Clinic/Center | 13300 Tegler Dr., Suite 110, Noblesville, IN 46060 | 2018-10-10 |
| 1013409994 | Reesa Smith | Marriage & Family Therapist | 23 S. 8th St, Suite 3700, Noblesville, IN 46060 | 2018-06-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1447636113 | Melissa Fields | Nurse Practitioner | 203 Regent Ct, Noblesville, IN 46060 | 2015-08-05 |
| 1225419336 | Lauren Lee Brady | Counselor | 205 Westfield Rd., Noblesville, IN 46060 | 2015-06-15 |
| Find all providers in zip 46060 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497000988 | Steven Paul Porto | Surgery | 9660 E 146th St Ste 100, Noblesville, IN 46060 | 2012-07-20 |
| 1114234705 | Samuel R. Heiser, Md PC | Surgery | 450 Lafayette Rd, Noblesville, IN 46060-1305 | 2010-09-03 |
| 1750454195 | Joseph John Castellano | Surgery | 14295 Mourning Dove Ln, Apt 107, Noblesville, IN 46060-8742 | 2006-11-15 |
| 1871006106 | Spp D.o., LLC | Surgery | 9660 E 146th St Ste 100, Noblesville, IN 46060 | 2017-11-08 |
| 1861853574 | Hendricks County Hospital | Surgery | 325 Westfield Rd, Suite A, Noblesville, IN 46060-1497 | 2016-03-09 |
| 1831350701 | Grace Surgical PC | Surgery | 355 Westfield Rd, Suite 120, Noblesville, IN 46060-1443 | 2008-06-23 |
| 1912092388 | Samuel Rodney Heiser | Surgery | 355 Westfield Rd, Ste 120, Noblesville, IN 46060-1443 | 2006-10-03 |
| 1093738023 | Jennifer Anne Zyromski | Surgery | 355 Westfield Rd, Suite 120, Noblesville, IN 46060-1443 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NOBLESVILLE |
| Zip Code | 46060 |
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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.