GREGORY T EVANGELISTA MD LLC (NPI# 1760892483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760892483 |
| Entity Type | Organization |
| Organization Name | GREGORY T EVANGELISTA MD LLC |
| Practice Address |
3271 N Civic Center Plz Ste 110 Scottsdale AZ 85251-6990 |
| Mailing Address |
Po Box 5495 Scottsdale AZ 85261-5495 |
| Practice Telephone | 4806560291 |
| Practice Fax Number | 4806560127 |
| Mailing Telephone | 4806560291 |
| Mailing Fax Number | 4806560127 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2019-09-02 |
| Authorized Official Name | GREGORY T EVANGELISTA (PHYSICIAN OWNER) |
| Authorized Official Telephone | 4802548482 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Evangelista Orthopedic Clinic | Doing Business As Name - Organization |
| Street Address |
3271 N CIVIC CENTER PLZ STE 110 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164491031 | Gregory Thomas Evangelista | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2006-03-14 |
| 1962959627 | Sean Fahlgren | Physical Therapist | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2016-09-09 |
| 1649614108 | Perry Jaymes Evangelista | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| 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 |
|---|---|---|---|---|
| 1003455197 | Gough Surgical Pllc | Orthopaedic Surgery | 9571 E Nittany Dr, Scottsdale, AZ 85255-5555 | 2020-01-06 |
| 1053877464 | Sgl Holdings LLC | Orthopaedic Surgery | 3501 N Scottsdale Rd Ste 221, Scottsdale, AZ 85251-5649 | 2019-02-11 |
| 1750627824 | Harlan Thomas Stratton | Orthopaedic Surgery | 9398 E Calle De Las Brisas, Scottsdale, AZ 85255-4336 | 2012-12-18 |
| 1588937189 | Austin Donald Potenza | Orthopaedic Surgery | 9850 N 73rd Street, #1069, Scottsdale, AZ 85258-1030 | 2012-02-14 |
| 1710277744 | Matthew William Russo | Orthopaedic Surgery | 10290 N 92nd St Ste 103, Scottsdale, AZ 85258-4508 | 2011-04-11 |
| 1881903334 | Uriel Remen | Orthopaedic Surgery | 7425 E Gainey Ranch Rd, 12, Scottsdale, AZ 85258-1515 | 2010-10-01 |
| 1467775411 | Farouk Antoine Habra | Orthopaedic Surgery | 13494 E Sorrel Ln, Scottsdale, AZ 85259-6320 | 2010-03-04 |
| 1174763650 | Kenneth C Scholz | Orthopaedic Surgery | 7100 E Mcdowell Rd, Scottsdale, AZ 85257-3316 | 2009-02-24 |
| 1275726135 | James Michael Sulkosky | Orthopaedic Surgery | 10040 E Happy Valley Rd, Villa 1034, Scottsdale, AZ 85255-2395 | 2007-08-23 |
| 1316142532 | Douglas B Freedberg Md PC | Orthopaedic Surgery | 5111 N Scottsdale Rd Ste 101, Scottsdale, AZ 85250-7007 | 2007-06-18 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85251 |
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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.