MRS. ELIZABETH EVERSULL


Address: 5944 W Parker Rd, #400, Plano, TX 75093-6421
Phone: 9723092021

MRS. ELIZABETH EVERSULL (NPI# 1154380517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154380517
Entity Type Individual
Full Name MRS. ELIZABETH EVERSULL
Credential MD
Practice Address 5944 W Parker Rd
#400
Plano
TX 75093-6421
Mailing Address Po Box 97
Boyce
LA 71409-0097
Practice Telephone 9723092021
Practice Fax Number 9723092023
Mailing Telephone 9723092021
Mailing Fax Number 9723092023
Enumeration Date 2006-03-22
Last Update Date 2008-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation L5328 TX Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
L5328 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 176702201 05

Office Location

Street Address 5944 W PARKER RD
#400
City PLANO
State TX
Zip Code 75093-6421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203468 Peter R. Barnett Dentist 5944 W Parker Rd, Ste 500, Plano, TX 75093-6430 2005-05-30
1093265431 No Pain Consultants,pllc Anesthesiology 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 2016-10-10
1013383421 Tonya Putman Nurse Practitioner 5944 W Parker Rd, Plano, TX 75093-6421 2015-08-19
1700226867 Dallas Pain Relief Center, PC. Specialist 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 2013-07-03
1275770356 Advanced Medical Enterprises Lp Durable Medical Equipment & Medical Supplies 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 2009-01-12
1326296310 Jerry Daniel Anesthesiology 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 2008-09-03
1518149111 Jeff Eidsvig D.c., Pllc Clinic/Center 5944 W Parker Rd, 400, Plano, TX 75093-6421 2007-12-05
1396934865 Jeffrey Craig Komenda Clinic/Center 5944 W Parker Rd, 100, Plano, TX 75093-6421 2007-10-19
1316133838 Jeffrey Charles Eidsvig Chiropractor 5944 W Parker Rd, #400, Plano, TX 75093-6421 2007-09-18
1598983983 Peter R. Barnett, Dmd, P.a. Dentist 5944 W Parker Rd, Suite 500, Plano, TX 75093-6421 2007-04-23
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1871087643 Axe Healthcare Pllc Physical Medicine & Rehabilitation 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 2018-06-15
1902291362 Dustin Ryan Leek Physical Medicine & Rehabilitation 2301 Marsh Ln, Plano, TX 75093-8497 2015-04-02
1073945648 Sheena Bhuva Physical Medicine & Rehabilitation 6020 W Parker Rd Ste 200, Plano, TX 75093 2013-08-06
1942597109 Metroplex Pain Partners, Pa Physical Medicine & Rehabilitation 6957 W Plano Pkwy, Suite 2600, Plano, TX 75093-1620 2011-07-07
1639274392 Mike Shah Md Pa Physical Medicine & Rehabilitation 6957 W Plano Pkwy, Suite 2600, Plano, TX 75093-1620 2006-09-14

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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

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.

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