JOHN MICHAEL EVANS (NPI# 1851681217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851681217 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL EVANS |
| Credential | M.D. |
| Practice Address |
1453 E Bert Koun Loop Shreveport LA 71105-6800 |
| Mailing Address |
2900 Saint Michael Dr Ste 401 Texarkana TX 75503-5211 |
| Practice Telephone | 3186811968 |
| Practice Fax Number | 3184650077 |
| Mailing Telephone | 9036147693 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 312414 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491900 | 2059343065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989053 | John Evans | Student in an Organized Health Care Education/Training Program | 1718 Ridgeview Cir, Layton, UT 84040-8213 | 2020-07-10 |
| 1255612362 | John Glenn Evans | Pharmacist | 501 Old Greenville Hwy, Clemson, SC 29631-1788 | 2011-09-01 |
| 1376831214 | John Douglas Evans | Pharmacist | 121 Wonder Valley Rd, Hendersonville, TN 37075-2038 | 2011-07-13 |
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1194043125 | John Keith Evans II | Physical Medicine & Rehabilitation | 1760 Edgewood Ave W Ste B, Jacksonville, FL 32208-7209 | 2010-05-14 |
| 1407008790 | John F. Evans | Dentist | 669 S. Eastwood Drive, Woodstock, IL 60098-4632 | 2008-10-17 |
| 1497966816 | John R Evans | Specialist | 643a East Blithedale, Mill Valley, CA 94942 | 2007-05-25 |
| 1518172345 | John Paul Evans IIi | Physical Therapist | 96 Willow Dr, Jim Thorpe, PA 18229-9566 | 2007-05-14 |
| 1639247257 | John R Evans | Physical Therapist | 1569 Smith Township, State Road Suite 2, Atlasburg, PA 15004 | 2006-12-01 |
| 1376620294 | John Christopher Evans | Internal Medicine | 3801 Miranda Ave Ste 111c, Palo Alto, CA 94304-1207 | 2006-11-01 |
| Street Address |
1453 E BERT KOUN LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664080 | William Howard Haynie Jr. | Internal Medicine | 1453 E Bert Koun Loop, Ste 112, Shreveport, LA 71105-6800 | 2005-07-26 |
| 1881127090 | Advanced Cardiovascular Specialists | Internal Medicine | 1453 E Bert Koun Loop, Ste 112, Shreveport, LA 71105-6800 | 2017-04-05 |
| 1508315342 | Scott Anthony Leblanc | Physical Therapist | 1453 E Bert Koun Loop, Shreveport, LA 71105-6800 | 2016-09-21 |
| 1700259678 | Highland Clinic, A Prof Med Corp | Orthopaedic Surgery | 1453 E Bert Koun Loop, #210, Shreveport, LA 71105-6800 | 2015-11-02 |
| 1295735793 | Ralph Willard Baucum IIi | Internal Medicine | 1453 E Bert Koun Loop, Ste 112, Shreveport, LA 71105-6800 | 2005-07-26 |
| 1093715591 | Albert Nolen Krause | Internal Medicine | 1453 E Bert Koun Loop, Suite 112, Shreveport, LA 71105-6800 | 2005-07-26 |
| 1184624686 | Michael Henry Gooszen | Internal Medicine | 1453 E Bert Koun Loop, Suite 112, Shreveport, LA 71105-6800 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134182223 | David P. Hamm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Albert L. Bicknell Dr., Suite 5c, Shreveport, LA 71103-3920 | 2006-04-10 |
| 1639314271 | Wk Red River Cardiovascular Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2008-12-11 |
| 1104061175 | Red River Cardiovascular Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2008-12-04 |
| 1477729994 | David P. Hamm, M.d. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2008-05-05 |
| 1790798635 | Lloyd Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 510 E Stoner Ave, `, Shreveport, LA 71101-4243 | 2006-08-14 |
| 1790705010 | Curtis A. Prejean Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Albert L. Bicknell Dr., Suite 5c, Shreveport, LA 71103-3920 | 2006-07-20 |
| 1134182082 | Laurence F Hiller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376536 | Warren L Gottsegen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 865 Dubois Dr, Baton Rouge, LA 70808-5038 | 2013-01-21 |
| 1528355021 | Morrison Curtis Bethea | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1615 Poydras St Fl 23, New Orleans, LA 70112-1254 | 2011-07-05 |
| 1184913378 | Heart Lung and Vascular Clinic, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Hodge Watson Rd, Calhoun, LA 71225-9786 | 2011-03-29 |
| 1548561194 | Emily V. Cassidy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4950 Essen Ln Fl 1, Baton Rouge, LA 70809 | 2010-11-13 |
| 1619113834 | Rudolph F Weichert IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Rue Saint Peter, Unit 111, Metairie, LA 70005 | 2008-12-17 |
| 1639328131 | Cardiovascular and Thoracic Specialists, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 413 Highland Crossing St, Baton Rouge, LA 70810-5816 | 2008-09-09 |
| 1174732846 | Mohamad Allam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 155 Hospital Dr #301, Lafayette, LA 70503-2846 | 2007-05-21 |
| 1881737104 | Cardiothoracic Surgeons of The South, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1605 Foster St, Lake Charles, LA 70601-5815 | 2007-02-15 |
| 1326101254 | Blaine Mcdermott Borders | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 244 Saint Andrews Rd, Calhoun, LA 71225-7931 | 2006-12-19 |
| 1942220280 | Richard M Dearman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on JOHN MICHAEL 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.