Eric J Ewald Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15998 Issued in NV

Practice address

155 Highway 50
Stateline, NV 89449

Phone

(775) 589-8900

Fax

(775) 588-7110

NPI assigned

Jul 23, 2009

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eewald104143@direct.renown.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barton Medical Foundation

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1750950499

  NV

  Medicare reassignment Care Compare group NPD
• Barton Healthcare System

  dba Barton Health Rural Health Clinic - Stateline

  • Rural Health Clinic/Center
  • Stateline, NV
  • NPI 1588598536
  NPD (past)
• Tahoe Carson Valley Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stateline, NV
  • NPI 1124334776
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barton Healthcare System

  dba Barton Memorial Hospital

  • General Acute Care Hospital
  • South Lake Tahoe, CA
  • NPI 1003867565
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1114157179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HIGHWAY 50",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "89449",
            "telephone_number": "775-589-8900",
            "fax_number": "775-588-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Paradise Road Suite E",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95351",
            "country_code": "US",
            "telephone_number": "209-558-4000",
            "fax_number": "209-558-5036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWALD",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A118819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Chung, MD
• Cosmetic Dermatology by Sean Degnan
• Sean M Degnan, M.D.
• Nichole Delaplante, DO
• Tania Josephine Dickson-Humphries, PA-C
• Eyezone, Inc.
• Michelle Wilkerson Feeney, NP
• Brittlyn Nicole Foster
• Melissa N George, DC
• Kathryn Theresa Gollotto, DO

• Family Medicine Physician in Stateline, NV
• Providers in Stateline, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.