DR. EVAN K ALTMAN (NPI# 1760750855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760750855 |
| Entity Type | Individual |
| Full Name | DR. EVAN K ALTMAN |
| Credential | DO |
| Practice Address |
271 Carew St Springfield MA 01104-2377 |
| Mailing Address |
1600 S. Andrews Ave Gme Fort Lauderdale FL 33316 |
| Practice Telephone | 4137489349 |
| Mailing Telephone | 5612624100 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2020-07-14 |
| NPI Deactivation Date | 06/01/2015 |
| NPI Reactivation Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 283307 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS15572 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 S. Andrews Ave, Gme, Fort Lauderdale, FL 33316 | 5612624100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048337 | Evan Matthew Altman | Psychiatry & Neurology | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-01-18 |
| Street Address |
271 CAREW ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911957 | Jeffrey Lawrence Friedman | Specialist | 271 Carew St, Springfield, MA 01104-2377 | 2005-06-09 |
| 1700401213 | Laura Quink | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2020-06-10 |
| 1235784943 | Alyssa L. Fleurent | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-08-08 |
| 1962061929 | Emily Mckenna Clough | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-12 |
| 1508425109 | Christopher Clark | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-07 |
| 1851955256 | Bernard Sanvie | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-05-01 |
| 1669036737 | Adfinitas Health At The Mercy Hospital Pllc | Hospitalist | 271 Carew St, Springfield, MA 01104-2377 | 2019-04-24 |
| 1326502238 | Woodland Anesthesiology Associates, P.C. | Anesthesiology | 271 Carew St, Springfield, MA 01104-2377 | 2019-01-24 |
| 1912480351 | Sarah Gagnon | Nurse Practitioner | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-12 |
| 1922580984 | Samantha Abraham | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| 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 |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.