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JESSE JAMES EWALDT NPI 1376272435


NPI Information

NPI: 1376272435
Provider Name: JESSE JAMES EWALDT
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
701 N 1ST ST STE D220
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-3518
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Jesse James Ewaldt is an emergency medicine in Springfield, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jesse James Ewaldt NPI is 1376272435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 N 1ST ST STE D220
SPRINGFIELD, IL
ZIP 62702-757
Phone: (217) 545-3518
Fax: (217) 545-2711

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine125090279ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.