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DR. MARK DAVID EWALT M.D. NPI 1497998512


NPI Information

NPI: 1497998512
Provider Name: DR. MARK DAVID EWALT, M.D.
Classification: Pathology - 207ZP0007X
Entity Type: Individual

Specialization: Molecular Genetic Pathology

Organization: MEMORIAL PATHOLOGY GROUP

PECOS Registration: Yes

Address:
1275 YORK AVENUE
DEPT OF PATHOLOGY, BOX #36
NEW YORK, NY
ZIP 10065
Phone: (212) 639-8137
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DR. Mark David Ewalt, M.D. is a molecular genetic pathology pathology in New York, NY with 15 years of experience. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. DR. Mark David Ewalt, M.D. NPI is 1497998512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2009

The provider's business location address is:

1275 YORK AVENUE
DEPT OF PATHOLOGY, BOX #36
NEW YORK, NY
ZIP 10065
Phone: (212) 639-8137

The NPI 1497998512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)

The enumeration date for this NPI number is 4/20/2009 and was last updated on 8/25/2021.


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
1207ZC0500XPathologyCytopathologyDR.0058760COLORADONo
2207ZH0000XPathologyHematologyDR.0058760COLORADONo
3207ZH0000XPathologyHematologyA121762CALIFORNIANo
4207ZP0007XPathologyMolecular Genetic PathologyDR.0058760COLORADOYes

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.