EVAN JOSEPH LUDMER (NPI# 1225432826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225432826 |
Entity Type | Individual |
Full Name | EVAN JOSEPH LUDMER |
Credential | PA-C |
Practice Address |
1253 Nw Canal Blvd Redmond OR 97757 |
Mailing Address |
Po Box 6096 Bend OR 97708-6096 |
Practice Telephone | 5417063765 |
Enumeration Date | 2014-10-10 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA176864 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1253 NW CANAL BLVD |
City | REDMOND |
State | OR |
Zip Code | 97757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051713 | Colleen Anastasia O'sullivan | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97708 | 2005-05-31 |
1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
1568931343 | Cep America - Neurology PC | Psychiatry & Neurology | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2018-11-21 |
1427542935 | Lauren Habel | Nurse Practitioner | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2018-06-18 |
1124576756 | Jonelle Lynn Smith I | Pharmacist | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2016-09-12 |
1730544552 | Elke Jacobsen | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-12-21 |
1922488063 | Katherine Luehrs | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-06-03 |
1043606148 | Mindy Lipsitz | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-04-15 |
1932591963 | Bryce Campbell | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-02-27 |
1750787115 | Community Pharmacy Redmond | Pharmacy | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2014-11-13 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427100841 | Marcia G. Kramer | Physician Assistant | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2007-01-17 |
1306808142 | Suzanne E Browning-tarbet | Physician Assistant | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2006-04-05 |
1932591963 | Bryce Campbell | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-02-27 |
1528462272 | Kathleen Pyatek | Physician Assistant | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2014-10-09 |
1942541164 | Angela Tye | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2013-03-13 |
1720369648 | Ryan Narciso | Physician Assistant | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2011-09-06 |
1073633772 | Cristina Zappoli Ryser | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-03-29 |
1528111614 | Jon G Lowe | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-01-19 |
1194877431 | Cynthia J. Kusiak | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-17 |
1033261458 | Brent D. Kooy | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-17 |
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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.