ELLEN R EVANS (NPI# 1679696611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679696611 |
| Entity Type | Individual |
| Full Name | ELLEN R EVANS |
| Credential | M.D. |
| Practice Address |
9662 N 29th St Omaha NE 68112-1524 |
| Practice Telephone | 4025109923 |
| Mailing Telephone | 4025109923 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 14875 | OK | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | G5030 | TX | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 17202 | NE | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
14875 | OK | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
G5030 | TX | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
17202 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183283 | Ellen M Evans | Specialist/Technologist | 22423 N 91st Dr, Peoria, AZ 85383-4160 | 2020-01-21 |
| 1669420527 | Ellen A Evans | Physician Assistant | 241 Hayler Ct, Oregon, WI 53575-1108 | 2006-05-04 |
| 1235480625 | Ellen R Evans | Counselor | 5910 Clark Rd, Ste. W, Paradise, CA 95969-4856 | 2012-09-25 |
| 1093788317 | Ellen Gloria Evans | Dietitian, Registered | 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 | 2006-02-08 |
| Street Address |
9662 N 29TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68112-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
| 1780614156 | Shirley Lynn Miller | Pediatrics | 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 | 2006-07-03 |
| 1083655435 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7312 N 30th St, Omaha, NE 68112 | 2006-06-09 |
| 1841798477 | Hinners Geriatric Medicine, LLC | Internal Medicine | 7915 N 30th St, Omaha, NE 68112 | 2018-01-29 |
| 1619143591 | Kimberly Gene Krajewski Clark | Counselor | 6720 N 30th St, Heartland Family Service, Omaha, NE 68112 | 2008-05-01 |
| 1992864045 | Heartland Family Service | Clinic/Center | 6720 N 30th St, Omaha, NE 68112 | 2006-12-06 |
| 1073927885 | Jordan Hodges | Physical Therapy Assistant | 12502 Ponca Rd, Omaha, NE 68112-1028 | 2014-06-19 |
| 1962589762 | Ponca Hills Volunteer Fire Department | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2006-11-01 |
| 1942676648 | Ponca Hills Fire District | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2015-08-17 |
| 1043851926 | Home Speech LLC | Speech-Language Pathologist | 11317 N Post Rd, Omaha, NE 68112-1218 | 2019-10-02 |
| Find all providers in zip 68112 | ||||
| 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 |
|---|---|---|---|---|
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1659938777 | Hannah Luksa | Family Medicine | 983075 Nebraska Medical Center Omaha Ne 68198-3075, Omaha, NE 68198-3075 | 2019-05-23 |
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1710458237 | Quality Living Inc | Family Medicine | 6320 N 70th Plz, Omaha, NE 68104-1072 | 2018-12-10 |
| 1851871735 | Cornerstone Nonprofit Healthcare | Family Medicine | 1313 N 48th Ave, Omaha, NE 68132-1612 | 2018-08-20 |
| 1306368691 | Mitchell Kohl | Family Medicine | 16104 Sprague St, Omaha, NE 68116-2895 | 2017-07-09 |
| Find all providers in OMAHA | ||||
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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.