Evan W Easley (NPI# 1851397459, PAC ID# 6103808886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1851397459 |
| PAC ID by PECOS | 6103808886 |
| Professional Enrollment ID | I20040607000864 |
| Full Name | Evan W Easley |
| Organization Legal Name | CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC |
| Address |
1520 Virginia Ranch Rd Gardnerville NV 89410-5731 |
| Phone Number | 7757821550 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860579984 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291306 | CARSON VALLEY MEDICAL CENTER |
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| 050352 | BARTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 7757821550 | CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC |
| Organization Legal Name | CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Gocke | Nurse Practitioner | Carson Valley Medical Center Rural Health Clinic | 897 Ironwood Dr, Minden, NV 89423-5198 |
| Alfred Phillips | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Kenneth Gibb | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Kim Chi T Nguyen | Family Medicine | Carson Valley Medical Center Rural Health Clinic | 897 Ironwood Dr, Minden, NV 89423-5198 |
| Glenn R Thorp | Internal Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Catherine Anne Fuller | Nurse Practitioner | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Judith E Rosso | Family Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Michael J Potosky | Nurse Practitioner | Carson Valley Medical Center Rural Health Clinic | 897 Ironwood Dr, Minden, NV 89423-5198 |
| Garrett D Schwartz | Internal Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Lara Togoan | Physician Assistant | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Street Address |
1520 VIRGINIA RANCH RD |
| City | GARDNERVILLE |
| State | NV |
| Zip | 89410-5731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeromy David Dyer | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Alfred Phillips | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Ashten Howard | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Paul D Manoukian | Otolaryngology | Sierra Nevada Ent Associates Ltd | 1520 Virginia Ranch Rd, Suite 103, Gardnerville, NV 89410-5731 |
| Scott Wilson Southard | Orthopedic Surgery | Scott W Southard Md Inc | 1520 Virginia Ranch Rd, 1b, Gardnerville, NV 89410-5732 |
| Kenneth Gibb | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Glenn R Thorp | Internal Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Paul J Fry Iii | Orthopedic Surgery | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Candace L Camelon | Nurse Practitioner | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Catherine Anne Fuller | Nurse Practitioner | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Dixon | Psychologist, Clinical | 1462 Us Hwy 395 N, Gardnerville, NV 89410-5203 | |
| Cynthia Marlena Thorp | Psychologist, Clinical | 1462 Us Hwy 395 N, Gardnerville, NV 89410-5203 | |
| Donald H Miner | Chiropractic | 1540 Hwy 395 N, Suite 3, Gardnerville, NV 89410-5224 | |
| Christopher Blaha | Chiropractic | 1516 Us Hwy 395 N, Suite C, Gardnerville, NV 89410-5232 | |
| Marc C Young | Podiatry | 1422 Mission St, Gardnerville, NV 89410-5239 | |
| Heber W Becker Iii | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Brett E Winthrop | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Baghdassar P Baghdikian | Anesthesiology | South Tahoe Anesthesia Medical Group | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Dirk G Fletcher | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Daniel A Hansen | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Find all physicians in zip 89410 | |||
| City | GARDNERVILLE |
| Zip Code | 89410 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GARDNERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Evan W Easley.
| 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.