DR. EVAN F EVANS (NPI# 1366404089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366404089 |
| Entity Type | Individual |
| Full Name | DR. EVAN F EVANS |
| Credential | M.D. |
| Practice Address |
4403 Harrison Blvd #4440 Ogden UT 84403-3271 |
| Practice Telephone | 8013874480 |
| Practice Fax Number | 8013874499 |
| Mailing Telephone | 8013874480 |
| Mailing Fax Number | 8013874499 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 56142790-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1013548056 | Evan David Evans | Physician Assistant | 1313 E Osborn Rd Ste 150, Phoenix, AZ 85014-5688 | 2020-01-29 |
| 1689021784 | Evan James Evans | Counselor | 1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713 | 2016-05-18 |
| 1699749127 | Evan M Evans | Radiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-02-13 |
| 1285617431 | Evan Evans | Specialist | 1150 Youngs Rd, Williamsville, NY 14221-8053 | 2005-11-22 |
| 1467454488 | Evan C Evans | Optometrist | 305 N Main St, Ainsworth, NE 69210-1355 | 2005-08-10 |
| 1982601563 | Evan David Evans | Radiology | Delaney Radiologists Group, Pllc, 1025 Medical Center Dr, Wilmington, NC 28401 | 2005-06-28 |
| Street Address |
4403 HARRISON BLVD #4440 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962794 | Fred George Seale Iv | Obstetrics & Gynecology | 4403 Harrison Blvd, Ste 4650, Ogden, UT 84403-3271 | 2005-06-15 |
| 1720502859 | Derek Smith | Physician Assistant | 4403 Harrison Blvd, Ogden, UT 84403-3271 | 2017-07-31 |
| 1245766393 | Jacob Saunders | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2017-05-11 |
| 1043746191 | Haleigh Emerson | Family Medicine | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403-3271 | 2017-05-11 |
| 1457887507 | Madison Beatty | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403 | 2017-05-11 |
| 1669908711 | Spencer Ruben | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403-3271 | 2017-05-11 |
| 1376083147 | Linda Maria Jones | Nurse Practitioner | 4403 Harrison Blvd, Suite 3490, Ogden, UT 84403 | 2017-02-27 |
| 1114376431 | Jonas Legrand Peterson | Family Medicine | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2016-06-07 |
| 1649629965 | Derek Paul Wille | Family Medicine | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2016-06-07 |
| 1467838086 | Brandy Millward | Social Worker | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3271 | 2015-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245656487 | Steve F Johnson | Obstetrics & Gynecology | 4647 Madison Ave, Ogden, UT 84403-3007 | 2014-03-12 |
| 1871850982 | Daniel A. Bergman | Obstetrics & Gynecology | 1649 Rutherford Rd., Ogden, UT 84403 | 2012-04-13 |
| 1265591697 | Rodney Stephen Merrill | Obstetrics & Gynecology | 434 E 5350 S, Suite A, Ogden, UT 84405-5418 | 2006-12-08 |
| 1740245620 | Leo M Stevenson | Obstetrics & Gynecology | 555 E 5300 S #7, Ogden, UT 84405-4509 | 2006-04-20 |
| 1518962794 | Fred George Seale Iv | Obstetrics & Gynecology | 4403 Harrison Blvd, Ste 4650, Ogden, UT 84403-3271 | 2005-06-15 |
| 1801154422 | Leo M. Stevenson, M.d., Inc. | Obstetrics & Gynecology | 555 E 5300 S, 7, Ogden, UT 84405-4509 | 2012-05-02 |
| 1841558780 | Margret Allison Mencer | Obstetrics & Gynecology | 4403 Harrison Blvd, Ste 4815, Ogden, UT 84403-3271 | 2012-04-29 |
| 1871810135 | Scott Austin Rynearson | Obstetrics & Gynecology | 5495 S 500 E, Ste 310, Ogden, UT 84405-6923 | 2010-04-27 |
| 1003146770 | H Darrell Woods, M.d. P.C. | Obstetrics & Gynecology | 4403 Harrison Blvd, Suite 4440, Ogden, UT 84403-3271 | 2010-01-02 |
| 1730338161 | Bryan Seth Palmer | Obstetrics & Gynecology | 4403 Harrison Blvd, Ste 4650, Ogden, UT 84403-3271 | 2008-09-10 |
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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.