Gene Harold Evans (NPI# 1659344042, PAC ID# 5395798516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659344042 |
| PAC ID by PECOS | 5395798516 |
| Professional Enrollment ID | I20050301000102 |
| Full Name | Gene Harold Evans |
| Organization Legal Name | CAH ACQUISITION COMPANY 12 LLC |
| Address |
40 Hospital Rd Fairfax OK 74637-5084 |
| Phone Number | 9186423291 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820123052 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371318 | FAIRFAX COMMUNITY HOSPITAL |
| 370049 | STILLWATER MEDICAL CENTER |
| 371320 | CLEVELAND AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 40 Hospital Rd, Fairfax, OK 74637-5084 | 9186423291 | CAH ACQUISITION COMPANY 12 LLC |
| Organization Legal Name | CAH ACQUISITION COMPANY 12 LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Frasier Engle | Physician Assistant | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Richard E Steel | Nurse Practitioner | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Street Address |
40 HOSPITAL RD |
| City | FAIRFAX |
| State | OK |
| Zip | 74637-5084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Frasier Engle | Physician Assistant | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Richard E Steel | Nurse Practitioner | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee A Weatherford | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Kent Alan Johnson | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Neal Ross Brockbank | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Glenda D Boyle | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Laurie Mclemore | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Kristin M Brock | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Wendy Denise Madison | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Lisa A Mattingly | Family Practice | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| City | FAIRFAX |
| Zip Code | 74637 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAIRFAX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gene Harold Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.