NPIMap

Individual provider Active NPI

Edward Ewing, D.O.

  • Anatomic Pathology Physician
  • Richmond, VA
National Provider Identifier
1598767758
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
0102208087 Issued in VA
Practice address
1200 E Marshall St
Richmond, VA 23298-5023
Phone
(804) 828-0183
NPI assigned
Jun 1, 2005
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 0102208087 VA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS-004906L PA

Addresses

Primary practice location

1200 E Marshall St
Richmond, VA 23298-5023

Mailing address

5620 Southwyck Blvd
Toledo, OH 43614-1501
Phone (800) 288-8325

Other practice location 1

405 W Grand Ave
Dayton, OH 45405-4720
Phone (937) 723-3855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190124000623 PA Practitioner - Pathology 1658301643 Reassigns benefits to 6 organizations
I20231121002278 VA Practitioner - Pathology 1658301643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 539-8725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-004906LPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 21, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince May 24, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 28, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 28, 2022 Accepting new patients
Gslpg, Inc CurrentSince May 24, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 22, 2021 Accepting new patients
Via Affiliates CurrentSince Aug 9, 2024 Accepting new patients
Advanced Lab Solutions, LLC CurrentSince Jul 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince May 24, 2022 Accepting new patients
MCV Associated Physicians Anatomic Pathology & Clinical Pathology CurrentSince Sep 25, 2023 Accepting new patients
Via Affiliates CurrentSince Aug 9, 2024 Accepting new patients
Dubois Regional Medical Center Anatomic Pathology CurrentSince Oct 22, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1598767758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141501",
            "telephone_number": "800-288-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985023",
            "telephone_number": "804-828-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054720",
            "country_code": "US",
            "telephone_number": "937-723-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0102208087",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS-004906L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.