DR. BRIAN JOHN EVANSON (NPI# 1073741237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073741237 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JOHN EVANSON |
| Credential | M.D. |
| Practice Address |
1545 W Us Highway 30 Schererville IN 46375 |
| Mailing Address |
1545 W Us Highway 30 Schererville IN 46375-1562 |
| Practice Telephone | 2197032440 |
| Mailing Telephone | 2197032440 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 59689 | MN | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
01080413A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Saint Francis Ave, Park Nicollet Clinic, Shakopee, MN 553793383 | 9529933230 | 9529931748 |
| Street Address |
1545 W US HIGHWAY 30 |
| City | SCHERERVILLE |
| State | IN |
| Zip Code | 46375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982663373 | Jaime Vander Zanden | Physical Therapist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2006-03-23 |
| 1053979484 | Megan Fiscella | Physical Therapist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2019-05-31 |
| 1073078085 | Kevin Alexander | Podiatrist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2019-02-04 |
| 1083194161 | Anna Heppner | Physical Therapist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-08-17 |
| 1366947392 | Donna Jean Govert | Occupational Therapy Assistant | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-30 |
| 1275037335 | Mary Bond | Speech-Language Pathologist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-22 |
| 1053815886 | Julie Tierney | Speech-Language Pathologist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-19 |
| 1871097600 | Kari Anne Dewolf | Speech-Language Pathologist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-19 |
| 1780188516 | Jill Westerfield | Speech-Language Pathologist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-19 |
| 1144724972 | Tami Degeorge | Speech-Language Pathologist | 1545 W Us Highway 30, Schererville, IN 46375-1562 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567134 | Phillip G Koultourides, O.d. P.C. | Optometrist | 210 Indianapolis Blvd, Suite B, Schererville, IN 46375 | 2020-04-22 |
| 1326568619 | Ariel Nicole Szczecina | Optometrist | 171 Us-41, Schererville, IN 46375 | 2017-06-27 |
| 1700323508 | National Vision, Inc. | Technician/Technologist | 171 Us 41, Schererville, IN 46375 | 2017-01-31 |
| 1669845590 | Help At Home, LLC | Nursing Care | 833 N Lincoln Hwy, Suite 200 East, Schererville, IN 46375 | 2015-10-30 |
| 1518367135 | Kathleen Ollearis | Counselor | 2037 Us Highway 41, Schererville, IN 46375 | 2014-09-02 |
| 1225453756 | Nancy Jean Schmidt | Registered Nurse | 1824 S. Cline Ave., Peifer Elementary, Schererville, IN 46375 | 2014-02-20 |
| 1245651249 | Kathleen Maria Georgiou | Registered Nurse | 225 W 77th Ave., Grimmer Middle School, Schererville, IN 46375 | 2013-12-18 |
| 1881015881 | Cheryl Lynn Johnson | Registered Nurse | 333 W 77th Ave., Watson Elementary, Schererville, IN 46375 | 2013-12-18 |
| 1821419821 | Shirley Marie Baczkowski | Registered Nurse | 210 E. Joliet St, Homan Elementary, Schererville, IN 46375 | 2013-12-18 |
| 1154698710 | M Susanne Fronczak | Pharmacist | 5520 W. Lincoln, Schererville, IN 46375 | 2011-11-28 |
| Find all providers in zip 46375 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003000399 | Reconstructive Hand To Shoulder of Indiana, LLC | Orthopaedic Surgery | 13431 Old Meridian Street, Suite 225, Carmel, IN 46032 | 2007-08-30 |
| 1689873291 | Christian Hand Center, Inc | Orthopaedic Surgery | 1800 S. 3rd St., Terre Haute, IN 47802 | 2007-07-13 |
| 1598700783 | Michael E Pannunzio | Orthopaedic Surgery | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-7101 | 2006-06-19 |
| 1295708659 | Richard L Makowiec | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2006-02-08 |
| 1497758429 | Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| 1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1679903009 | Trihealth Physicians of Indiana, Inc. | Orthopaedic Surgery | 600 Wilson Creek Rd, Suite 310, Lawrenceburg, IN 47025-2751 | 2013-11-21 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SCHERERVILLE |
| Zip Code | 46375 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.