John L Ewald (NPI# 1124014378, PAC ID# 3870569635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124014378 |
| PAC ID by PECOS | 3870569635 |
| Professional Enrollment ID | I20060411000715 |
| Full Name | John L Ewald |
| Organization Legal Name | BAY STATE MEDICAL ASSOCIATES, PC |
| Address |
1717 Main St Rear Brockton MA 02301-7134 |
| Phone Number | 5088571466 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 6103983879 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1717 Main St, Rear, Brockton, MA 02301-7134 | 5088571466 | BAY STATE MEDICAL ASSOCIATES, PC |
| Organization Legal Name | BAY STATE MEDICAL ASSOCIATES, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas J Rencricca | Internal Medicine | Bay State Medical Associates, PC | 1717 Rear Main St, Brockton, MA 02301-7134 |
| Richard S Fox | Plastic and Reconstructive Surgery | Bay State Medical Associates, PC | 1717 Main St, Rear, Brockton, MA 02301-7134 |
| Street Address |
1717 MAIN ST REAR |
| City | BROCKTON |
| State | MA |
| Zip | 02301-7134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Fox | Plastic and Reconstructive Surgery | Bay State Medical Associates, PC | 1717 Main St, Rear, Brockton, MA 02301-7134 |
| Joseph J Gulotta | Chiropractic | 1717 Main St, Suite 101, Lake Como, NJ 07719-3096 | |
| Mark Joseph Goleski | Internal Medicine | Access Physicians, Pllc | 1717 Main St, Suite 5850, Dallas, TX 75201-7317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andris Jason Zauls | Radiation Oncology | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Jan Amorello | Nurse Practitioner | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Zwi Hoch | Obstetrics/gynecology | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | |
| Richard P Junghans | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Jennifer Frangos | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Barry M Arkin | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Diane M Paggioli | Medical Oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Scott M Bortman | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Richard J Catrambone | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Valentina Moirangthem | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 |
| Find all physicians in zip 02301 | |||
| City | BROCKTON |
| Zip Code | 02301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROCKTON + INTERNAL MEDICINE |
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| 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.