Eric J Ewald (NPI# 1114157179, PAC ID# 8820249451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114157179 |
| PAC ID by PECOS | 8820249451 |
| Professional Enrollment ID | I20151211000519 |
| Full Name | Eric J Ewald |
| Organization Legal Name | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Address |
155 Hwy 50 Stateline NV 89449-9816 |
| Phone Number | 7755898900 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426048158 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050352 | BARTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 155 Hwy 50, Stateline, NV 89449-9816 | 7755898900 | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Organization Legal Name | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Taylor | General Surgery | Tahoe Carson Valley Medical Group Inc | 2158 Jean Ave, South Lake Tahoe, CA 96150-3412 |
| Danielle M Knowlton | Qualified Audiologist | Tahoe Carson Valley Medical Group Inc | 2169 S Ave, South Lake Tahoe, CA 96150-7059 |
| Megan Frances Jewell | Obstetrics/gynecology | Tahoe Carson Valley Medical Group Inc | 2175 S Ave, South Lake Tahoe, CA 96150-7024 |
| Ronald C Roth | Otolaryngology | Tahoe Carson Valley Medical Group Inc | 2170 S Ave, South Lake Tahoe, CA 96150-7026 |
| Stuart P Michelson | Emergency Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Stefan Ernest Schunk | Internal Medicine | Tahoe Carson Valley Medical Group Inc | 1090 3rd St, South Lake Tahoe, CA 96150-3485 |
| Amy P Smith | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 1067 4th St, South Lake Tahoe, CA 96150-3459 |
| Scott P Swanson | Internal Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Joseph E Hancock | Gastroenterology | Tahoe Carson Valley Medical Group Inc | 2170 S Ave, South Lake Tahoe, CA 96150-7026 |
| Cathey R Bervid | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 1090 3rd St, South Lake Tahoe, CA 96150-3485 |
| Street Address |
155 HWY 50 |
| City | STATELINE |
| State | NV |
| Zip | 89449-9816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart P Michelson | Emergency Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Scott P Swanson | Internal Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Brooks Martin | Family Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Warren T Withers | Emergency Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Steven L Brooks | Family Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Sonia N Rupp | Psychiatry | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Lars D Ensign | Emergency Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Michelle W Feeney | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Patricia B Bucher | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean M Degnan | Dermatology | 165 Hwy 50 100, Stateline, NV 89449 | |
| Jeffrey V Behar | Diagnostic Radiology | Radadvantage A Professional Corporation | 235 Chimney Rock Rd, Stateline, NV 89449 |
| Lauren M Lee | Physician Assistant | Martin E. Salm, M.d., Ltd. | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9800 |
| Martin Salm | Dermatology | Martin E. Salm, M.d., Ltd. | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9800 |
| Thomas E Mccrorey | General Surgery | Martin E. Salm, M.d., Ltd. | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9800 |
| Jeanne C Horton | Physician Assistant | Martin E. Salm, M.d., Ltd. | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9800 |
| Christopher Pavich | Chiropractic | 276 Kingsbury Grade, Suite 1050, Stateline, NV 89449-9804 |
| City | STATELINE |
| Zip Code | 89449 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STATELINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Eric J Ewald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.