JORDAN BRADY EVANS (NPI# 1629537576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629537576 |
| Entity Type | Individual |
| Full Name | JORDAN BRADY EVANS |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
| Practice Telephone | 3193567546 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R-11746 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R-11746 | IA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1225680853 | Jordan Evans | Optometrist | 1923 Mcculloch Blvd N Ste 102, Lk Havasu Cty, AZ 86403-6120 | 2019-07-13 |
| 1285101329 | Jordan M Evans | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2018-10-26 |
| 1700244639 | Jordan R Evans | Internal Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234 | 2016-02-06 |
| Street Address |
200 HAWKINS DR DEPT OF |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1649897687 | Beatriz Dinh | Specialist | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-25 |
| 1417573882 | Harris Syed | Family Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-22 |
| 1124644828 | Taylor James Den Hartog | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1366068942 | Melissa Toeller-desimone | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1124644786 | Nathan Kemper | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1467078311 | Gregory Kirkpatrick | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1407472327 | Stephen Stone | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1235755026 | Melanie Claire Morris | Pediatrics | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1720603608 | John Brennan Hunter Whitacre | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480970 | Susan Dale Wall | Dermatology | 269 N 1st Ave, Ste 100, Iowa City, IA 52245 | 2006-01-09 |
| 1659833622 | Matthew Dacunha | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-04-01 |
| 1811480254 | Taylor Tabatabai | Dermatology | 200 Hawkins Dr, Iowa City, IA 52242 | 2018-06-11 |
| 1851882716 | Ashley Elizabeth Mcguinness | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-05-25 |
| 1467957233 | Sabrina Sisto Alessi Cesar | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-03-26 |
| 1649775461 | Alexander Reid | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-03-25 |
| 1033647177 | Lainee Goettsche | Dermatology | 200 Hawkins Drive, Department of Dermatology, Iowa City, IA 52242 | 2017-06-02 |
| 1316474976 | Michael Thomas Ginnetti | Dermatology | 200 Hawkins Dr, Iowa City, IA 52242 | 2017-05-15 |
| 1730539404 | Jessica Harms | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-06-14 |
| 1104270511 | Patricia Richey | Dermatology | 200 Hawkins Dr, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2016-04-21 |
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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.