KENNETH EVANS (NPI# 1114967288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967288 |
| Entity Type | Individual |
| Full Name | KENNETH EVANS |
| Credential | MD |
| Practice Address |
8821 W 6th Ave Stillwater OK 74074-1094 |
| Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4053727217 |
| Mailing Telephone | 4053727217 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8813 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043546971 | Kenneth Evans | Case Manager/Care Coordinator | 637 Royal Ave, Midwest City, OK 73130-2710 | 2009-10-28 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1801314778 | Kenneth Evans | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2017-08-31 |
| 1144629163 | Kenneth Lee Evans | Counselor | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-08-14 |
| 1194168013 | Kenneth D Evans | Audiologist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2013-04-10 |
| 1184972721 | Kenneth Evans | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2012-08-28 |
| 1144431651 | Kenneth Wynne Evans | Family Medicine | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2007-05-25 |
| 1023158839 | Kenneth R Evans | Marriage & Family Therapist | 275 Beck Ave, Fairfield, CA 94533 | 2007-02-08 |
| Street Address |
8821 W 6TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1336657022 | Brandi Watts | Family Medicine | 1523 W 9th Ave, Stillwater, OK 74074-5469 | 2018-01-16 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1003149139 | Oca Stillwater Lp | Family Medicine | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2009-09-08 |
| 1184871295 | Jon Stratte | Family Medicine | 114 Lakeside Dr, Stillwater, MN 55082-4238 | 2008-08-20 |
| 1215125489 | Paul Vincent Quinn | Family Medicine | 9991 Arcola Ct N, Stillwater, MN 55082-9523 | 2007-10-11 |
| 1972527422 | Andrew D Maas | Family Medicine | 270 Main N St 300, Stillwater, MN 55082-6788 | 2006-07-27 |
| 1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
| 1275566358 | Wesley Andrews | Family Medicine | O S U Student Health Service, 1202 W. Farm Road, Stillwater, OK 74078-2036 | 2006-07-09 |
| 1952362071 | Jennifer Lynn Landers | Family Medicine | 2900 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-03-29 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on KENNETH EVANS.
| 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.