STANLEY EVANS (NPI# 1790781797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790781797 |
| Entity Type | Individual |
| Full Name | STANLEY EVANS |
| Credential | D.O. |
| Practice Address |
3105 Colorado Blvd Denton TX 76210-6887 |
| Practice Telephone | 9403833444 |
| Practice Fax Number | 9403832224 |
| Mailing Telephone | 9403833444 |
| Mailing Fax Number | 9403832224 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J1993 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER # | 00J74E | 01 |
| TX | TAX ID # | 752696679 | 01 |
| TX | 092200701 | 05 | |
| TX | WORKERS COMP PROVIDER ID | DOJ1993 | 01 |
| Street Address |
3105 COLORADO BLVD |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666171 | Joanna Kristine Palavicini | Nurse Practitioner | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2018-10-24 |
| 1467807081 | Allen Hefner | Nurse Practitioner | 3105 Colorado Blvd, Ste 100, Denton, TX 76210-6893 | 2016-05-02 |
| 1609237239 | Jill Lori Ashby | Nurse Practitioner | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2016-03-09 |
| 1780054429 | Jessica Van Noy | Physician Assistant | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2015-10-06 |
| 1093185225 | North Texas Long Term Care, P.a. | General Acute Care Hospital | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2015-09-30 |
| 1073804944 | Jisha Cherian Chacko | Nurse Practitioner | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2011-04-27 |
| 1811297054 | Denton Allergy Group Pllc | Allergy & Immunology | 3105 Colorado Blvd, Suite 101, Denton, TX 76210 | 2010-10-21 |
| 1154426633 | Stanley C Evans, Do, Pa | Nurse Practitioner | 3105 Colorado Blvd, Denton, TX 76210-6887 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| 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 |
|---|---|---|---|---|
| 1992369177 | Connections Primary Care | Family Medicine | 2721 Shoreline Dr Ste 120, Denton, TX 76210-0170 | 2019-04-23 |
| 1194104950 | Kamille Romain | Family Medicine | 2310 W University Dr, Denton, TX 76201-1650 | 2015-05-27 |
| 1245640192 | Nancy E Gegbe Clark | Family Medicine | 2660 Scripture St Ste 110, Denton, TX 76201-4340 | 2014-04-30 |
| 1669890315 | Gabriel Okpagu | Family Medicine | 2520 W University Dr # 1154, Denton, TX 76201-1616 | 2014-03-31 |
| 1346517919 | Robert Seavey Croissant | Family Medicine | 401 Ridgecrest Cir, Denton, TX 76205-5407 | 2011-11-25 |
| 1255619268 | Robert Lee Gispanski | Family Medicine | 4401 N I 35 Unit 312, Denton, TX 76207-3318 | 2011-07-25 |
| 1326373291 | Dogwood Housecalls Pa | Family Medicine | 3912 Drexel Dr, Denton, TX 76210-7705 | 2009-10-12 |
| 1215182191 | Linda Yeatts, M.d., P.a. | Family Medicine | 2701 W Oak St, Suite 101, Denton, TX 76201-2328 | 2008-11-19 |
| 1861652372 | Neelima Chirumamilla | Family Medicine | 2520 W University Dr, Suite 1154, Denton, TX 76201-1616 | 2008-06-10 |
| 1518144534 | Shane Jordan Ashford | Family Medicine | 2900 N Interstate 35 Ste 301, Denton, TX 76201-5146 | 2008-01-22 |
| Find all providers in DENTON | ||||
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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.