DR. JONATHAN WALLACE EVANS (NPI# 1760517478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760517478 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN WALLACE EVANS |
| Credential | D.O. |
| Practice Address |
3680 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Mailing Address |
444 Nw Elks Dr Corvallis OR 97330-3745 |
| Practice Telephone | 5417541276 |
| Mailing Telephone | 5417541276 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 43700 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5101015261 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE RAILROAD | P00626446 | 01 |
| OR | MEDICARE PART B | R138023 | 01 |
| OR | 274339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658081 | Jonathan L. Evans | Counselor | 706 Woodland Ave, El Paso, TX 79922-2040 | 2020-04-22 |
| 1033493622 | Jonathan Evans | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2011-10-01 |
| 1124140132 | Jonathan Hardy Evans | Dentist | 23326 Hawthorne Blvd #350, Torrance, CA 90505 | 2007-04-03 |
| 1811458417 | Jonathan Evans | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower Ste 400, Orange, CA 92868 | 2019-03-27 |
| 1467999730 | Jonathan Christopher Evans | Social Worker | 1045 Main St, Suite 2, Danville, VA 24541-1800 | 2017-01-25 |
| 1912346529 | Jonathan Evans | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2013-06-17 |
| 1609139484 | Jonathan Douglas Evans | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2012-06-18 |
| 1891915831 | Jonathan Evans | Counselor | 248 Seneca St, Oil City, PA 16301-1371 | 2007-05-01 |
| 1184793705 | Jonathan M. Evans | Internal Medicine | 1165 Pepsi Pl, Charlottesville, VA 22901-2866 | 2006-11-07 |
| 1336150861 | Jonathan S. Evans | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-10 |
| Street Address |
3680 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852252 | Patricia Shannon Hopson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2005-09-27 |
| 1568007649 | Miriam Geneva Powell | Specialist/Technologist, Other | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-11-12 |
| 1043853948 | Elise Noel Bascom | Psychologist | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-23 |
| 1881252252 | Jennifer Marie Giles | Surgery | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-05-31 |
| 1316503774 | Naomi Elizabeth Shantz | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2019-05-11 |
| 1134613110 | Maddison Marie Greaves | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-06-21 |
| 1831631522 | Joshua Bergh | Physician Assistant | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-11-10 |
| 1063961373 | Elisabeth Romatz Mahmud | Registered Nurse | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-09-27 |
| 1689127045 | Nicolette Rosendahl | Neuromusculoskeletal Medicine & OMM | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-08-02 |
| 1003271727 | Laura Luczkiw | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467401414 | John C Erkkila | Orthopaedic Surgery | 7325 Nw Spring Creek Dr, Corvallis, OR 97330-9794 | 2006-05-08 |
| 1306834601 | Ronald D Wobig | Orthopaedic Surgery | 1128 Ne 2nd Street, Suite 201, Corvallis, OR 97330-6227 | 2005-10-11 |
| 1528687068 | Jacob Pearson | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-14 |
| 1922637222 | Maxwell R Jiganti | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-07 |
| 1932737640 | Jibran Ali Khan | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-03-29 |
| 1073176756 | Alexandra Makenzie Scoles | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-17 |
| 1467015545 | Christopher Canario | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-15 |
| 1689137879 | Delaney Ann Keane | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-13 |
| 1497252670 | Taylor Alexandra Harris | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-04-12 |
| 1891292066 | Jared Sanderford | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-04-12 |
| Find all providers in CORVALLIS | ||||
Please comment or provide details below to improve the information on DR. JONATHAN WALLACE EVANS.
| 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.