DR. GREGORY A EWALD (NPI# 1073557401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073557401 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A EWALD |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 8a Ste 8a Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8086 Saint Louis MO 63110-1010 |
| Practice Telephone | 3144547687 |
| Practice Fax Number | 3143622512 |
| Mailing Telephone | 3144547687 |
| Mailing Fax Number | 3143622512 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R7P09 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R7P09 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
R7P09 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206951600 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
4921 PARKVIEW PL STE 8A STE 8A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081243 | Spencer James Melby | Surgery | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2005-05-30 |
| 1851525190 | Mohamed Adel Zayed | Surgery | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2009-05-14 |
| 1568602886 | Jeffrey Jim | Surgery | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2009-02-26 |
| 1821234519 | Molly Rater | Nurse Practitioner | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2008-12-30 |
| 1740449354 | Ali Javaheri | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2008-06-09 |
| 1467610543 | Joel David Schilling | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2008-05-27 |
| 1841482528 | Nathan Oliver Stitziel | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2007-08-15 |
| 1689871360 | Ilia Guearguiev Halatchev | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2007-06-27 |
| 1114123296 | Kathryn J Lindley | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2007-06-25 |
| 1104028786 | Karen Ellen Joynt Maddox | Internal Medicine | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| City | SAINT LOUIS |
| Zip Code | 63110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.