MR. MARK THAIN EVANS (NPI# 1861606154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861606154 |
| Entity Type | Individual |
| Full Name | MR. MARK THAIN EVANS |
| Credential | PA-C |
| Practice Address |
17800 Camp Williams Rd Bldg 9000 Suite 200 Riverton UT 84065-4905 |
| Mailing Address |
242 W 6th Ave Midvale UT 84047-7380 |
| Practice Telephone | 8015234406 |
| Mailing Telephone | 0813522303 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| 1992970362 | Mark C Evans | Dentist | 3424 First Ave, San Diego, CA 92103 | 2008-04-28 |
| 1427228428 | Mark Evans | Registered Nurse | 198 Upper Powderly St, Carbondale, PA 18407-2777 | 2008-03-05 |
| 1508084856 | Mark T Evans | Dentist | 1676 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3304 | 2007-04-23 |
| 1437373487 | Mark Kendal Evans | Psychologist | 2650 Madison Rd, Cincinnati, OH 45208-1332 | 2007-04-12 |
| 1205969524 | Mark Edward Evans | Dentist | 8925 Executive Park Dr, Knoxville, TN 37923-4708 | 2007-03-14 |
| 1285784025 | Mark D Evans | Dentist | 315 Lamar St., Maryville, TN 37804-5848 | 2007-01-12 |
| 1205928983 | Mark Anthony Evans | Physician Assistant | 417 N Main, Grainte, OK 73547 | 2006-09-29 |
| 1568479087 | Mark Alan Evans | Family Medicine | 3567 Scioto Run Blvd, Hilliard, OH 43026-3013 | 2006-08-01 |
| 1972542686 | Mark Peter Evans | Acupuncturist | 1829 Riverside Dr, Berlin, NH 03570-3143 | 2006-06-06 |
| Street Address |
17800 CAMP WILLIAMS RD BLDG 9000 SUITE 200 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952459794 | David Lee Furuta | Physician Assistant | 17800 Camp Williams Rd, Riverton, UT 84065-4905 | 2007-01-08 |
| 1073732939 | Jeffrey Warren Hjelseth | Registered Nurse | 17800 Camp Williams Rd, Riverton, UT 84065-4905 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| 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 |
|---|---|---|---|---|
| 1245867837 | Aaron B Christianson | Physician Assistant | 620 E Menard St, Riverton, IL 62561-9770 | 2020-03-24 |
| 1134769375 | Jenna Bradfield | Physician Assistant | 12405 S Elm Meadows Rd, Riverton, UT 84065-7184 | 2020-01-15 |
| 1568763159 | Christopher Anthony Vis | Physician Assistant | 17800 South Camp Williams Road, 1st Battalion 19th Special Forces Group (airborne), Riverton, UT 84065 | 2010-11-12 |
| 1720264237 | Robin A Mountford | Physician Assistant | 1756 W. Park Ave., Riverton Family Health Center, Riverton, UT 84065-4701 | 2008-01-15 |
| 1336505684 | Brittany Lynne Christoffersen | Physician Assistant | 716 College View Dr, Riverton, WY 82501-2282 | 2016-01-01 |
| 1467735621 | Brandon James Hansen | Physician Assistant | 12391 S 4000 W, Riverton, UT 84096 | 2011-09-23 |
| 1497934731 | Jill Ann Pool | Physician Assistant | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-11-02 |
| 1013196971 | Jeffery Alan Williams | Physician Assistant | 1130 Major Ave, Fremont Family Practice, Riverton, WY 82501-2342 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1518583566 | Alexanders Fitness Company LLC | Physician Assistant | 245 S 1060 W, Lindon, UT 84042-1606 | 2020-06-24 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
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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.