BLAINE EVANS (NPI# 1811375900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811375900 |
| Entity Type | Individual |
| Full Name | BLAINE EVANS |
| Credential | DO |
| Practice Address |
210 9th St Se Rochester MN 55904-6756 |
| Mailing Address |
8280 Yankee St Centerville OH 45458-1806 |
| Practice Telephone | 5072883443 |
| Mailing Telephone | 9374364658 |
| Mailing Fax Number | 8886547267 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 67079 | MN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 34.012400 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0188741 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | |
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958166 | |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 |
| Street Address |
210 9TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013539 | Graham Douglas Ritts | Orthopaedic Surgery | 210 9th St Se, Rochester, MN 55904-6756 | 2005-06-21 |
| 1134774730 | Beau Bachman | Specialist/Technologist | 210 9th St Se, Rochester, MN 55904-6756 | 2019-08-09 |
| 1285192641 | Erica Dawn Runkle | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2019-03-05 |
| 1629553102 | Tarra J Lewis | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-10-01 |
| 1295220994 | Erica Behrens | Psychologist | 210 9th St Se, Rochester, MN 55904-6756 | 2018-06-25 |
| 1740785849 | Hamed Esfandiari | Ophthalmology | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-29 |
| 1962906982 | Tanelle Nicole Franko | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904 | 2018-03-23 |
| 1740782549 | Susan E Orlowski | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-07 |
| 1104327022 | Jacquelyn M Proper | Nurse Anesthetist, Certified Registered | 210 9th St Se, Rochester, MN 55904-6756 | 2018-02-26 |
| 1700399292 | Kelsey L Miller | Physician Assistant | 210 9th St Se, Rochester, MN 55904-6756 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968448 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 | 2017-08-21 |
| 1518313584 | Jennifer Rabjohns | Emergency Medicine | 1425 Portland Ave # 305, Rochester, NY 14621-3011 | 2016-05-10 |
| 1497101562 | Jeremy Schorr | Emergency Medicine | 44 Celebration Dr Ste 2.100, Rochester, NY 14620-2664 | 2016-05-09 |
| 1720426851 | Rochester Urgent Care, Pllc | Emergency Medicine | 2701 Culver Rd, Rochester, NY 14622-2817 | 2013-06-11 |
| 1699038851 | Stephanie Corey | Emergency Medicine | 1425 Portland Ave Bldg 3, Rochester, NY 14621 | 2012-06-21 |
| 1164673109 | Ursula G Mc Kenna | Emergency Medicine | 2040 Merrihills Dr Sw, Rochester, MN 55902-1160 | 2008-10-08 |
| 1518998186 | Adaeze Igwebuike | Emergency Medicine | 1244 6th Ave Se, Rochester, MN 55904-7423 | 2006-07-05 |
| 1871523159 | Shannon Mclellan | Emergency Medicine | 26 Morningside Park, Rochester, NY 14607-3016 | 2006-07-03 |
| 1053348698 | Steven Wolfe | Emergency Medicine | 1555 Lond Pond Road, Emergency Department, Rochester, NY 14626-4122 | 2006-06-27 |
| 1598706327 | Kathleen Anne Whaley | Emergency Medicine | 1150 University Ave Ste 7, Rochester, NY 14607-1647 | 2006-06-10 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on BLAINE 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.