MR. FRED CARTER EWALT PA
NPI 1487629267
Physician Assistant - Medical in Jacksonville, FL

NPI Status: Active since February 23, 2006

Contact Information

2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 542-7765
Fax: (904) 542-7835

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  • Individual
  • Male
  • Physician Assistant
  • Medical

About FRED EWALT

This page provides the complete NPI Profile along with additional information for Fred Ewalt, a primary care provider established in Jacksonville, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1487629267 assigned on February 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 1462446 (FL). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1487629267
Provider Name
MR. FRED CARTER EWALT PA
Gender
Male
Entity Type
Individual
Location Address
2080 CHILD ST JACKSONVILLE, FL 32214
Location Phone
(904) 542-7765
Location Fax
(904) 542-7835
Mailing Address
2080 CHILD ST JACKSONVILLE, FL 32214
Mailing Phone
(904) 542-7765
Mailing Fax
(904) 542-7835
Is Sole Proprietor?
No
Enumeration Date
02-23-2006
Last Update Date
11-10-2009
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A primary care provider (PCP) like Fred Ewalt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1462446
License State
FL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487629267, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 2 + 1 + 8 + 2 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1487629267.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32214
Orthopaedic Surgery
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Psychiatry)
2080 CHILD ST, U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX
JACKSONVILLE, FL 32214
Emergency Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Nurse Practitioner (Family)
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Neurology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Internal Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Family Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Family Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Radiology (Diagnostic Radiology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Optometrist
2080 CHILD ST
JACKSONVILLE, FL 32214
Obstetrics & Gynecology
2080 CHILD ST
JACKSONVILLE, FL 32214
Optometrist
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Surgery
2080 CHILD ST
JACKSONVILLE, FL 32214
Physician Assistant (Medical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Dietitian, Registered
2080 CHILD ST
JACKSONVILLE, FL 32214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487629267, enumerated as an "individual" on February 23, 2006.

The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (904) 542-7765.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.