MICHAEL WYNN EVANS


Address: 384 Airport Rd, Hazle Township, PA 18202-3325
Phone: 5705011242

MICHAEL WYNN EVANS (NPI# 1972782522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972782522
Entity Type Individual
Full Name MICHAEL WYNN EVANS
Credential MD
Practice Address 384 Airport Rd
Hazle Township
PA 18202-3325
Mailing Address Po Box 783311
Philadelphia
PA 19178-3311
Practice Telephone 5705011242
Practice Fax Number 5705011252
Mailing Telephone 4848844500
Mailing Fax Number 4848840699
Enumeration Date 2007-10-31
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
MD439423 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA PENDING 05
PA 102618108-0003 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
363 N 1st St, Lehighton, PA 18235 6103794980 6103784985
500 University Dr, Hershey, PA 17033 8002431455
700 E Norwegian St Fl 3, Pottsville, PA 179012710 5706214322 5706214327

Other Providers MICHAEL EVANS

NPI Name Taxonomy Address Enumeration
1225676810 Michael Todd Evans Specialist/Technologist 4419 Sw 53rd St, Topeka, KS 66610-9448 2019-12-15
1902348436 Michael Evans Physical Therapy Assistant 665 E French Ave, Orange City, FL 32763-5211 2016-11-15
1790188910 Michael Caid Evans Physician Assistant 310 E 4575 S, Ogden, UT 84405-5841 2014-10-01
1285053975 Michael Evans Internal Medicine Medical Plaza 1, 902, Houston, TX 77024 2014-04-10
1255769477 Michael B Evans Counselor 5228 Ne Hoyt St Bldg B, Portland, OR 97213-3055 2013-10-25
1457693764 Michael Allan Evans Anesthesiology 225 E. Chicago Avenue, 19, Department of Anesthesiology, Chicago, IL 60611-2991 2013-03-25
1538318787 Michael John Evans Nurse Practitioner 2727 Buena Vista Dr Ste 201, Paso Robles, CA 93446-8580 2008-09-11
1376734467 Michael P Evans Dentist 5664 Bee Ridge Rd #201, Sarasota, FL 34233 2007-08-05
1366543035 Michael Joseph Evans Chiropractor 225r King Street, Northampton, MA 01060 2006-09-26
1073537916 Michael Blake Evans Specialist 1025 Victoria Dr, Dunedin, FL 34698-5749 2006-07-26

Office Location

Street Address 384 AIRPORT RD
City HAZLE TOWNSHIP
State PA
Zip Code 18202-3325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932299054 Harvey J Hotchner Internal Medicine 384 Airport Rd, Hazle Township, PA 18202-3325 2006-10-13
1437494598 Pollyanna Fino Physician Assistant 384 Airport Rd, Hazle Township, PA 18202-3325 2012-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013428184 Patch Town Emergency Physicians LLC Emergency Medicine 26 Station Circle, Hazleton, PA 18202 2017-10-17
1770015653 Lauren Sanzi Chiropractor 426 Airport Beltway, 132a, Hazle Township, PA 18202 2017-03-30
1770913667 Marian Filkins Physical Therapy Assistant 401-403 Hazle Township Blvd, Hazle Township, PA 18202 2013-11-14
1528305851 Christian John Fink Registered Nurse 405 Winters Ave, West Hazleton, PA 18202 2013-01-07
1952639601 Kathleen S. Veglia, M.d. Pathology 1525 N. Churct St., Hazle Township, PA 18202 2009-11-18
1407182447 Sarah Marie Magula Registered Nurse 6 Diana Ln, West Hazleton, PA 18202 2009-10-27
1932354669 Robert W. Zukoski Technician/Technologist 1097 No. Church St., Hazelton, PA 18202 2008-11-21
1699947085 Dr Sandra M Krokos & Thomas P Kislan PC Optometrist 281 Airport Road, Hazle Township, PA 18202 2008-03-26
1952478349 Joseph Serafin Pelly Dentist 20 East Broad St, West Hazelton, PA 18202 2006-11-29
1659457158 Derek Enterprises Physical Therapist 106 Rotary Drive, Valmont Industrial Park, W Hazleton, PA 18202 2006-10-27
Find all providers in zip 18202

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932299054 Harvey J Hotchner Internal Medicine 384 Airport Rd, Hazle Township, PA 18202-3325 2006-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598372286 Bethanie Jones Internal Medicine 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 2020-09-26
1053930362 Dubois Regional Medical Center Internal Medicine 88 Hospital Rd, Brookville, PA 15825-1368 2020-04-16
1760947840 Russell Eugene Kaufman Internal Medicine 700 Glengarry Rd, Philadelphia, PA 19118-4111 2019-02-04
1891204921 Ahmed Mostafa Internal Medicine Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 2017-09-20
1730607755 Penn State Health Community Medical Group, LLC Internal Medicine 233 College Ave Ste 303, Lancaster, PA 17603-3384 2017-08-30
1831619097 Pinnacle Health Regional Physicians Internal Medicine 233 College Ave Ste 100, Lancaster, PA 17603-3372 2017-06-20
1194193656 Allen Oliff Internal Medicine 1412 Florence Dr, Gwynedd Valley, PA 19437 2015-09-14
1679958912 Lancaster Medical Group, LLC Internal Medicine 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 2015-07-28
1780077735 Arnon I Dreyfuss Internal Medicine 239 Delancey St, Philadelphia, PA 19106-4318 2015-03-16
1164841193 Maria Vershvovsky Internal Medicine 440 E Marshall St Ste 101, West Chester, PA 19380-5414 2014-04-07
Find all providers with the same taxonomy

Competitor

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City HAZLE TOWNSHIP
Zip Code 18202

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Dataset Information

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.

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