GARY LEWIS EVANS (NPI# 1770507857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770507857 |
Entity Type | Individual |
Full Name | GARY LEWIS EVANS |
Practice Address |
311 West Fairchild Street Danville IL 61832 |
Mailing Address |
Po Box 6002 Urbana IL 61803-6002 |
Practice Telephone | 2174317650 |
Mailing Telephone | 2173833311 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2008-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 085003219 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
A419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FEDERAL DEA # | ME0241567 | 01 | |
SC | SOUTH CAROLINA DEA # | S200419 | 01 |
DMERC | 0533210001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720100191 | Gary Carlton Evans | Social Worker | 5713 N Pershing Ave, Stockton, CA 95207-4942 | 2007-04-04 |
1932299187 | Gary L. Evans | Dentist | 1040 E. Elizabeth Street, Suite D, Fort Collins, CO 80524 | 2006-10-16 |
1568555779 | Gary Randall Evans | Dentist | 4319 Ridgecrest, Greenville, TX 75402 | 2006-10-02 |
1437181278 | Gary Walter Evans | Chiropractor | 930 Truxtun Ave, Suite 103, Bakersfield, CA 93301-4700 | 2006-07-06 |
1992703342 | Gary Steven Evans | Podiatrist | 1 Penn Plz, Suite 1707, New York, NY 10119-0002 | 2005-07-11 |
1114360351 | Gary Evans | Social Worker | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2013-04-08 |
1821120858 | Gary D. Evans | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-03-13 |
1346200904 | Gary T Evans | Internal Medicine | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-27 |
1326043944 | Gary D Evans | Nurse Anesthetist, Certified Registered | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2005-06-20 |
Street Address |
311 WEST FAIRCHILD STREET |
City | DANVILLE |
State | IL |
Zip Code | 61832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578837670 | Jacqueline A. Long | Nurse Practitioner | 311 West Fairchild Street, Danville, IL 61837-3876 | 2012-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
Find all providers in zip 61832 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747959 | Michelle Turner | Physician Assistant | 1095 N County Road 300 E, Danville, IN 46122-8651 | 2020-07-08 |
1427681535 | Ann Humphrey | Physician Assistant | 30 Windward Dr, Danville, CA 94526-2341 | 2020-02-17 |
1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
1164086948 | Matthew Hartman | Physician Assistant | 215 Kaitlyn Ln, Danville, CA 94506-4717 | 2019-04-26 |
1902370844 | Lindsay Simmons | Physician Assistant | 167 Maddox Rd, Danville, AL 35619-6535 | 2019-01-14 |
1174007165 | Caroline Federighi | Physician Assistant | 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 | 2018-09-17 |
1487136446 | Mayura Raghavan | Physician Assistant | 221 Marigold St, Danville, CA 94506-4760 | 2018-09-05 |
1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
1154762748 | Justin B Cecil | Physician Assistant | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2013-07-11 |
Find all providers in DANVILLE |
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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.