DAVID H EWALT (NPI# 1043257686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043257686 |
Entity Type | Individual |
Full Name | DAVID H EWALT |
Credential | M.D. |
Practice Address |
8315 Walnut Hill Ln Suite 205 Dallas TX 75231-4218 |
Mailing Address |
3600 Gaston Ave Suite 1205 Dallas TX 75246-1800 |
Practice Telephone | 2147500808 |
Practice Fax Number | 2147500120 |
Mailing Telephone | 2146911902 |
Mailing Fax Number | 2146964190 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2017-01-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
G9345 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 134977106 | 05 | |
TX | MEDICAID SPECIAL PROGRAMS | 119844204 | 01 |
TX | 134977109 | 05 | |
BCBS PROVIDER ID | 80419X | 01 | |
TX | MEDICAID CSN | 134977108 | 01 |
Street Address |
8315 WALNUT HILL LN SUITE 205 |
City | DALLAS |
State | TX |
Zip Code | 75231-4218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063411163 | Ronald J Chalk | Dentist | 8315 Walnut Hill Ln, Suite 230, Dallas, TX 75231-4218 | 2005-07-20 |
1477818409 | Smile Texas Outreach, PC | Dentist | 8315 Walnut Hill Ln, Suite 230, Dallas, TX 75231-4218 | 2012-07-05 |
1386877439 | Surgistar Lp | Clinic/Center | 8315 Walnut Hill Ln, Ste 110, Dallas, TX 75231-4218 | 2009-08-24 |
1356535314 | John D. Wallace, Dds, Md, Pa | Dentist | 8315 Walnut Hill Ln, Suite 105, Dallas, TX 75231-4218 | 2007-09-04 |
1467677344 | Charles W Bradley Dds Pa | Dentist | 8315 Walnut Hill Ln, 200, Dallas, TX 75231-4218 | 2007-04-16 |
1710015490 | Bryan Pruitt | Plastic Surgery | 8315 Walnut Hill Ln, Suite 125, Dallas, TX 75231-4218 | 2007-03-02 |
1982779443 | Jeremy Newton | Nurse Anesthetist, Certified Registered | 8315 Walnut Hill Ln, Suite 120, Dallas, TX 75231-4218 | 2006-11-21 |
1629184999 | Fertility Specialists of Dallas, Pa | Specialist | 8315 Walnut Hill Ln, Ste. 225, Dallas, TX 75231-4218 | 2006-08-21 |
1659384105 | Charles Wesley Bradley | Dentist | 8315 Walnut Hill Ln, Suite 200, Dallas, TX 75231-4218 | 2006-08-15 |
1811922610 | J. Marcus Downs | Colon & Rectal Surgery | 8315 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4218 | 2006-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
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Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942460191 | Irina Stanasel | Urology | 5323 Harry Hines Blvd, Dallas, TX 75390-1740 | 2008-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932543246 | Dung Pham | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2013-04-18 |
1679702377 | Andrew John Marks | Urology | 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 | 2009-07-02 |
1780719997 | Mohammad A Sami | Urology | 26019 Juniper Stone Ln, Katy, TX 77494-2615 | 2007-02-21 |
1659455616 | Lawrence J. Cisek | Urology | 6410 Fannin St Ste 950, Houston, TX 77030-5204 | 2006-10-25 |
1366411803 | Warren Thomas Snodgrass | Urology | 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034 | 2006-03-16 |
1871589978 | Jeff L Pugach | Urology | 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 | 2005-09-23 |
1063044881 | Crescent Medical Institute Pllc | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-02-10 |
1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
1619383650 | Pediatric and Adult Reconstructive Center for Urology, Pllc | Urology | 5680 Frisco Square Blvd, Suite 2300, Frisco, TX 75034-3308 | 2014-07-10 |
1326337874 | Matthew David Timberlake | Urology | 3601 4th St Stop 7260, Lubbock, TX 79430-0816 | 2011-04-06 |
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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.