RUSSELL L EVANS (NPI# 1851871172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851871172 |
| Entity Type | Individual |
| Full Name | RUSSELL L EVANS |
| Credential | PA-C |
| Practice Address |
320 Warner Dr Lewiston ID 83501-4441 |
| Practice Telephone | 2087433523 |
| Practice Fax Number | 2087468741 |
| Mailing Telephone | 2087433523 |
| Mailing Fax Number | 2082088741 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
1851871172 | ID | Allopathic & Osteopathic Physicians |
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
408447 | MN | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
408447 | MN | Technologists, Technicians & Other Technical Service Providers |
| N | 363A00000X | Physician Assistant | PA61007077 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA-1823 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1851871172 | 05 | |
| ID | 1851871172 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 6th St, Lewiston, Id, Lewiston, ID 83501 | 2087995335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683882 | Russell Lewis Evans | Chiropractor | 400 W Race Ave, Searcy, AR 72143-4133 | 2006-03-15 |
| 1629353602 | Russell D Evans | Pharmacist | 19028 Lincoln Ave, Parker, CO 80134-9381 | 2011-10-20 |
| Street Address |
320 WARNER DR |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659866 | Steven Randolph Boyea | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2005-09-13 |
| 1912517350 | Caleb H Netting | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2020-07-31 |
| 1306343728 | Alexis Zander | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-04-11 |
| 1023545373 | Catalyst Medical Group, Pllc | Durable Medical Equipment & Medical Supplies | 320 Warner Dr, Lewiston, ID 83501 | 2017-05-17 |
| 1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
| 1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
| 1265674071 | Dewayne Lynn Weaver | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2009-03-26 |
| 1083770192 | Gregory Robert Obray | Physician Assistant | 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 | 2006-12-31 |
| 1215095252 | Lewiston Orthopaedic Associates Pa | Clinic/Center | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-04 |
| 1497837447 | Bret A Paulson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1316509680 | Britney Matthews | Physician Assistant | 5320 Military Rd # 107b, Lewiston, NY 14092-2149 | 2019-07-07 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1649654187 | Danielle Laplante | Physician Assistant | 10 High St Ste 105, Lewiston, ME 04240-7640 | 2015-07-15 |
| 1114989852 | Kristie J Berube | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2006-04-06 |
| 1669449286 | Alison June Ravis | Physician Assistant | 70 Lincoln St, Mill No. 6, Lewiston, ME 04240-7792 | 2006-03-02 |
| 1225037211 | Matthew P Bureau | Physician Assistant | 70 Lincoln Street, Mill 6, Bates Mill Dermatology, Pllc, Lewiston, ME 04240 | 2005-07-20 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1578119335 | Chelsea Brown | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-08-16 |
| 1689228124 | Danielle R Tourigny | Physician Assistant | 91 Campus Ave, Lewiston, ME 04240 | 2019-08-01 |
| 1316506017 | Joshua Robert Browning | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-06-07 |
| Find all providers in LEWISTON | ||||
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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.