LAWRENCE DONALD EWERT (NPI# 1326010703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326010703 |
| Entity Type | Individual |
| Full Name | LAWRENCE DONALD EWERT |
| Credential | HSPP |
| Practice Address |
806 Jackson St Columbus IN 47201-6264 |
| Mailing Address |
720 N Marr Rd Columbus IN 47201-6660 |
| Practice Telephone | 8123794033 |
| Practice Fax Number | 8123788367 |
| Mailing Telephone | 8123143500 |
| Mailing Fax Number | 8123788367 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20010172A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 0000000209012 | 01 |
| Street Address |
806 JACKSON ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858960 | Denise C Fields | Pharmacist | 806 Jackson St, Columbus, IN 47201 | 2005-08-22 |
| 1265906291 | Dani Sue Becker | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201-6264 | 2019-01-12 |
| 1558716878 | Tyler Sura | Preventive Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2016-04-25 |
| 1235509167 | Healthworks Med Group of Indiana PC | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2015-10-05 |
| 1447643804 | Crossover Health Medical Group | General Practice | 806 Jackson St, Columbus, IN 47201-6264 | 2015-03-10 |
| 1174935118 | Robert Aaron Chestnut | Family Medicine | 806 Jackson St, Columbus, IN 47201 | 2014-05-27 |
| 1275976573 | Mary Anne C. Snyder | Family Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2013-04-17 |
| 1144579848 | Melissa Ann Etchison | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201 | 2012-09-10 |
| 1447509633 | Leticia Lynn Vance | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201 | 2012-09-03 |
| 1467648907 | Healthworks Med Group of Indiana P C | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| Find all providers in COLUMBUS | ||||
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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.