DAVID MICHAEL EVANS (NPI# 1902182348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902182348 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL EVANS |
| Credential | PAC |
| Practice Address |
2410 Susannah St Johnson City TN 37601-1748 |
| Practice Telephone | 4232829011 |
| Practice Fax Number | 4237220291 |
| Mailing Telephone | 4232829011 |
| Mailing Fax Number | 4237220291 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2069 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497180608 | David Evans | Physical Therapist | 2999 Mission Blvd Ste 100, San Diego, CA 92109-8028 | 2013-09-06 |
| 1871807172 | David T. Evans | Dentist | 5818 Nw 50th St, Oklahoma City, OK 73122-5100 | 2010-07-29 |
| 1376771436 | David Linn Evans | Nurse Practitioner | 5420 Vinewood, Fallon, NV 89406-4299 | 2009-06-29 |
| 1205074747 | David Wesley Evans | Counselor | 133 Pal Rd, Eastman, GA 31023-2909 | 2009-01-21 |
| 1194927087 | David Evans | Counselor | 1604 C. N. Main Street, Mountain Grove, MO 65711-1010 | 2007-06-03 |
| 1255462776 | David George Evans | Dentist | 24 S Oakes Avenue, Red Lodge, MT 59068-0510 | 2007-03-08 |
| 1982765400 | David C Evans | Chiropractor | 8061 Shaffer Pkwy, Littleton, CO 80127-3762 | 2006-12-12 |
| 1033147764 | David Lewis Evans Jr. | Dentist | 1455 Yarmouth Ave, Suite 116, Boulder, CO 80304-4371 | 2006-06-29 |
| 1083663629 | David Arthur Evans | Optometrist | 245 S Prospect Street, Nanticoke, PA 18634 | 2006-05-10 |
| 1316919483 | David K Evans | Chiropractor | 16130 Kokanee Rd, Suite 101, Apple Valley, CA 92307-1353 | 2006-02-03 |
| Street Address |
2410 SUSANNAH ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1760098669 | Justin Alan Sylvester | Physical Therapy Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-09-17 |
| 1316562549 | Frankie Tidwell | Nurse Practitioner | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-06-12 |
| 1861025744 | Jalen Bridwell | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-02-19 |
| 1336786383 | Andrew Blythe | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-12-09 |
| 1659921294 | Emilee Grace Dishner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-09-16 |
| 1154889285 | Taylor N Harmon | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-03-07 |
| 1407329246 | Mariah M Wagner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-01-04 |
| 1497237416 | Micah A Mcfaddin | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-09-06 |
| 1245720382 | Stephanie Lynn Owen | Specialist/Technologist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965651 | Shalena Peterson | Physician Assistant | 301 Med Tech Pkwy Ste 280, Johnson City, TN 37604-2364 | 2012-09-24 |
| 1063544716 | Christine Turbyfill Kinley | Physician Assistant | 3741 W Market St, Johnson City, TN 37604 | 2007-03-09 |
| 1508877416 | Pamela B Davis | Physician Assistant | 1627 Old Gray Station Rd, Ste 4, Johnson City, TN 37615-4193 | 2006-08-10 |
| 1437166477 | Thomas Alan Frantzen | Physician Assistant | Corner of Sidney and Lamont Streets, Johnson City, TN 37684-4000 | 2006-08-02 |
| 1700828977 | Melvin James Willis | Physician Assistant | James H Quillen/va Medical Center, Coner of Sidney & Lamont, Johnson City, TN 37684 | 2006-06-12 |
| 1902888944 | Bryan Daniel Lorch | Physician Assistant | 2514 Wesley St, 102, Johnson City, TN 37601-1764 | 2005-11-16 |
| 1386268159 | James Owen Thigpen | Physician Assistant | 410 N State of Franklin Rd Ste 130, Johnson City, TN 37604-6972 | 2020-06-08 |
| 1841814803 | Anthony Brian Jones | Physician Assistant | 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 | 2020-06-04 |
| 1790319317 | Frances Wilson | Physician Assistant | 401 E Watauga Ave, Johnson City, TN 37601-4036 | 2020-02-24 |
| 1841741196 | Grace Internal Medicine, LLC | Physician Assistant | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2016-10-21 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on DAVID 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.