LINDA SUE EVANS (NPI# 1912989021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912989021 |
| Entity Type | Individual |
| Full Name | LINDA SUE EVANS |
| Other Name | LINDA SUE BOCK |
| Credential | M.D. |
| Practice Address |
677 E Main St Ste B Centreville MI 49032-8525 |
| Mailing Address |
701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 |
| Practice Telephone | 2694679011 |
| Practice Fax Number | 2694679511 |
| Mailing Telephone | 2692739789 |
| Mailing Fax Number | 2692739611 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301062677 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3525600 10 | 05 | |
| MI | BCBSM | 700G560080 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837584 | Linda Jean Evans | Technician | 955 W Craig Rd Ste 114, North Las Vegas, NV 89032-0284 | 2020-09-29 |
| 1407400088 | Linda Evans | Physical Therapy Assistant | 68 Wapping Rd, Portsmouth, RI 02871-5300 | 2019-07-31 |
| 1144709817 | Linda Kennedy Evans | Social Worker | 99 Hawthorne St, Chelsea, MA 02150-3412 | 2018-08-13 |
| 1346606282 | Linda Evans | Registered Nurse | 44 Red Hawk Hollow Rd, Wappingers Falls, NY 12590-6240 | 2016-01-07 |
| 1376863076 | Linda Blue Evans | Counselor | 4012 Pearl Rd, Raleigh, NC 27610-6108 | 2010-06-03 |
| 1083856256 | Linda Lurena Evans | Nurse Practitioner | 14170 Ingraham Blvd, Port Charlotte, FL 33981-3015 | 2009-04-02 |
| 1295993251 | Linda Evans | Dietitian, Registered | 1102 N Willow Ave, Tampa, FL 33607-5552 | 2008-05-27 |
| 1609066042 | Linda L Evans | Occupational Therapist | 308 W Main, Hilbert, WI 54129 | 2007-08-01 |
| 1780698944 | Linda Ann Evans | Psychologist | 101 N Ocean Dr, Suite 212, Hollywood, FL 33019-1728 | 2006-07-27 |
| 1811596208 | Linda Suzanne Evans | Pharmacist | 200 Lease Ave, Greenville, OH 45331-2567 | 2020-10-19 |
| Street Address |
677 E MAIN ST STE B |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205108586 | Three Rivers Health System, Inc | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2012-02-02 |
| 1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in zip 49032 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198480 | Shoshana Holstein Killian | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| 1538607254 | Kinder Life Pediatrics | Pediatrics | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2017-02-01 |
| 1740289396 | Maura Elser Eriksson | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| 1194724740 | Wayne Richard Eriksson | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 49032 |
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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.