| Tara Renee Ewell, APRN, CNM | |
|
4625 Lindell Blvd Fl 2, Saint Louis, MO 63108-3739 | |
| (914) 919-9200 | |
| Not Available |
| Full Name | Tara Renee Ewell |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4625 Lindell Blvd Fl 2, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598349938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 1043910 (Texas) | Primary |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Renee Ewell, APRN, CNM 8900 Heartwood Dr, Fort Worth, TX 76244-4913 Ph: () - | Tara Renee Ewell, APRN, CNM 4625 Lindell Blvd Fl 2, Saint Louis, MO 63108-3739 Ph: (914) 919-9200 |
Ms. Kathleen Marino Goodwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Old Maternity Building, Saint Louis, MO 63110 Phone: 314-454-7882 Fax: 314-454-5167 | |
Ms. Sandra L Forney, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167 | |
Mrs. Jessica Ruth Zito, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6000 | |
Shannon Waller Davis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117 Phone: 314-977-7455 | |
Lyndsay Audra Mignon Duffe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8888 Ladue Rd Ste 220, Saint Louis, MO 63124 Phone: 314-644-3336 | |
Heather Marie Crawford, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6092 | |
Ms. Caitlin Elizabeth Bley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Dept Obgyn, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167 |