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

Eric J Ewald Jr., MD

Individual provider Family Medicine Physician · NPI 1114157179

Eric J Ewald Jr., MD is a Family Practice in Stateline, Nevada. Qualified in 2008, 18 years ago. Practices with Barton Medical Foundation, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
18
Licensed in
CA, NV
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

155 Highway 50
Stateline, NV 89449
Phone: (775) 589-8900
Fax: (775) 588-7110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Paradise Road Suite E, Modesto, CA 95351 — (209) 558-4000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15998 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence A118819 (CA)

Record details

NPI number1114157179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESJuly 5, 2018
Mailing address1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Barton Medical Foundation — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stateline