MACKENZIE JOHN EWART DO
NPI 1033853833
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Mackenzie Ewart's NPI number?

The NPI number for Mackenzie Ewart is 1033853833. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Mackenzie Ewart's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Ewart was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2022PECOS Enrolled

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-2000 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, May 10, 2022, Apr 27, 2022 (3 updates tracked since 2022).

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About Mackenzie John Ewart Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE JOHN EWART DO (NPI 1033853833) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033853833

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMACKENZIE JOHN EWARTCredential: DO

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing Address2853 Crockett St Apt 227eFort Worth, TX 76107-2993 · (817) 819-0150

Phone(817) 250-2000

Sole ProprietorNo

Enumeration DateApril 27, 2022

Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1033853833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie John Ewart Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine