Baughman & Ewald, P.S.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5271 Issued in KY

Legal business name

BAUGHMAN & EWALD, P.S.C.

Doing business as

Dr. Mary T. Ewald

Practice address

508 Fairdale Road
Fairdale,, KY 40118

Phone

(502) 361-1872

Fax

(502) 363-0539

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Tyler Ewald, D.M.D.NPI 1952523805

Title

Dentist

Phone

(502) 361-1872

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary T. Ewald Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Tyler Ewald, D.M.D.

  • General Practice Dentistry
  • Fairdale,, KY
  • NPI 1952523805
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871715300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FAIRDALE ROAD",
            "city": "FAIRDALE,",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-361-1872",
            "fax_number": "502-363-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FAIRDALE ROAD",
            "city": "FAIRDALE,",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-361-1872",
            "fax_number": "502-363-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUGHMAN & EWALD, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWALD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-361-1872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KY",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mary T. Ewald",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexey Acosta Quintana
• Mini Aggarwal, M.D.
• Alliance Chiropractic of SE, LLC
• Ameripharm, Inc
• Manuel L Brown Jr., M.D.
• Christopher David
• Andrea Edwards, LPN
• Valeri Elzy, LMT
• Mary Tyler Ewald, D.M.D.

• Point of Service in Fairdale,, KY
• Providers in Fairdale,, KY by specialty
• Point of Service in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.