Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesse Michael Ewald, MD

Individual provider Internal Medicine Physician · NPI 1104196591

Dr. Jesse Michael Ewald, MD is a Hospitalist in Newark, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2011, 15 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group. Licensed in Ohio.

Years since qualifying
15
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055
Phone: (220) 564-1791
Fax: (220) 564-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 35.124055 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.124055 (OH)

Record details

NPI number1104196591
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2012
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address1320 W. Main St, Newark, OH 43055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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