BONNIE ALICE EWALD (NPI# 1346535440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346535440 |
Entity Type | Individual |
Full Name | BONNIE ALICE EWALD |
Credential | M.D. |
Practice Address |
Lahey Hospital and Medical Center 41 Mall Road Burlington MA 01805-0001 |
Mailing Address |
41 Mall Road Lahey Hospital and Medical Center Burlington MA 01805 |
Practice Telephone | 7817448494 |
Practice Fax Number | 7817445276 |
Mailing Telephone | 7817448494 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2017-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 247792 | MA | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
260933 | MA | Allopathic & Osteopathic Physicians |
Street Address |
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD |
City | BURLINGTON |
State | MA |
Zip Code | 01805-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
1770059248 | Melissa Ann Ayer | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-10-22 |
1710461884 | Marina Cecilia Anastopoulos | Physician Assistant | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-09-24 |
1952882375 | Kimberlyn Austin | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-08-23 |
1972003366 | Nathan Haywood Hartwell | Pharmacist | Lahey Hospital and Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805-0180 | 2018-02-13 |
1043718612 | Simple Mehmi | Registered Nurse | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-01-29 |
1154850402 | Marc Patrick Baker-bourgeois | Nurse Anesthetist, Certified Registered | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-06-09 |
1407383136 | Rojer Ranjit | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-05-12 |
1548704398 | Stephanie Louise Hansen | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2016-12-13 |
1851846687 | Ashley Brisebois | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2016-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699069252 | Laurie Grossberg | Internal Medicine | Lahey Hospital and Medical Center 41 Mall Rd, Burlington, MA 01805-5400 | 2011-06-01 |
1578798591 | Rohini Reddy Vanga | Internal Medicine | 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215-8700 | 2009-05-19 |
1912197054 | S. Peter Gibb | Internal Medicine | Lahey Clinic Foundation, 41 Mall Road, Burlington, MA 01805-0001 | 2007-07-25 |
1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
1316455223 | Moses Cone Physician Services, Inc. | Internal Medicine | 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215-8700 | 2018-01-12 |
1700315082 | Alexandra Pogosky | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2017-06-08 |
1659766764 | Jason David Heffley | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-04-06 |
1811301070 | Jane Roberts | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-06-16 |
1841558533 | Joseph David Frasca | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-05-01 |
1942566732 | Anna Leszczynski | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2012-04-05 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 01805 |
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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.