MR. EDWARD M EWALD (NPI# 1497732564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497732564 |
| Entity Type | Individual |
| Full Name | MR. EDWARD M EWALD |
| Credential | MD |
| Practice Address |
13 Church Rd East Granby CT 06026-0518 |
| Mailing Address |
Po Box 518 13 Church Rd East Granby CT 06026-0518 |
| Practice Telephone | 8606534526 |
| Practice Fax Number | 8606535209 |
| Mailing Telephone | 8606534526 |
| Mailing Fax Number | 8606535209 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 018024 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CIGNA | 0204022002 | 01 |
| CT | AETNA | 140066 | 01 |
| CT | OXFORD | HAP209 | 01 |
| CT | BLUECARE FAMILY | 00118024900 | 01 |
| CT | HEALTHNET | 0P0373 | 01 |
| CT | UNITED | 0104405 | 01 |
| CT | BCBS | 010018024CT01 | 01 |
| CT | CT | 781463 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730268749 | Edward A Ewald | Internal Medicine | 127 Union St, Ridgewood, NJ 07450-4478 | 2006-11-02 |
| Street Address |
13 CHURCH RD |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026-0518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1992267660 | Kerri Helen Anderson | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-9406 | 2019-04-02 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| 1154308229 | East Granby Family Practice LLC | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1154308211 | Elizabeth S Freedman | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1063499127 | Steven R Dieterich | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1093792160 | Maryann Webster | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174811160 | Rosa Noda-clark | Dental Hygienist | 1 Chelsea Ln, East Granby, CT 06026 | 2011-07-12 |
| 1346366945 | Petra Irmgard Mursch | Chiropractor | 56a Rainbow Road, East Granby, CT 06026 | 2007-03-22 |
| 1851456743 | Ellen Farmer Lanctot | Chiropractor | 19 South Main St, East Granby, CT 06026 | 2006-12-22 |
| 1891855573 | Kathleen J Armata | Counselor | 59-61 Rainbow Road, East Granby, CT 06026 | 2006-12-11 |
| 1417312943 | Coleen Sutherland | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2015-12-29 |
| 1295038446 | Christine Noelle Levine | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2010-12-09 |
| 1275630402 | Robert L Gordon | Dentist | 11 S Main St, East Granby, CT 06026 | 2006-09-20 |
| 1528045697 | Jeannie M Crabtree | Nurse Practitioner | 13 Church St, East Granby, CT 06026-0518 | 2005-12-29 |
| 1073991881 | Juliana Kuofie | Registered Nurse | 56 Schoolhouse Lndg, East Granby, CT 06026-2600 | 2015-05-13 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| Find all providers in zip 06026 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1700222817 | Daniel Michael Lerner | Family Medicine | 13 Church St, East Granby, CT 06026-9406 | 2013-05-15 |
| 1447384326 | Khuram R Ghumman | Family Medicine | 13 Church St, East Granby, CT 06026-9406 | 2007-03-15 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| 1154308211 | Elizabeth S Freedman | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1063499127 | Steven R Dieterich | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRANBY |
| Zip Code | 06026 |
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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.