Fred Ewalt, PA
NPI 1487629267 · Medical Physician Assistant · Jacksonville, FL
Fred Ewalt, PA is a Medical Physician Assistant provider in Jacksonville, FL (NPI 1487629267).
Provider details
- NPI number
- 1487629267
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 1462446 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2009-11-10
Frequently asked questions
- What is Fred Ewalt's NPI number?
- Fred Ewalt's National Provider Identifier (NPI) is 1487629267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Ewalt's specialty?
- Fred Ewalt is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fred Ewalt located?
- Fred Ewalt's practice location on file with NPPES is 2080 Child St, Jacksonville, FL 32214-5005.
- What is Fred Ewalt's phone number?
- The practice phone number listed in the NPPES registry for Fred Ewalt is (904) 542-7765.
- Is Fred Ewalt's NPI active?
- Yes — Fred Ewalt's NPI (1487629267) is active in the NPPES registry as of the last update on 2009-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.