Mark A Evans (NPI# 1205928983, PAC ID# 8022099951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1205928983 |
PAC ID by PECOS | 8022099951 |
Professional Enrollment ID | I20040526001599 |
Full Name | Mark A Evans |
Organization Legal Name | KIOWA COUNTY HOSPITAL AUTHORITY |
Address |
429 W Elm Hobart OK 73651-1615 |
Phone Number | 5807261900 |
Gender | M |
Credential | PA |
Graduation Year | 1996 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7416948500 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
371330 | MANGUM REGIONAL MEDICAL CENTER |
370153 | ELKVIEW GENERAL HOSPTIAL |
370022 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
Address | Phone | Organization |
---|---|---|
429 W Elm, Hobart, OK 73651-1615 | 5807261900 | KIOWA COUNTY HOSPITAL AUTHORITY |
Organization Legal Name | KIOWA COUNTY HOSPITAL AUTHORITY |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
William L Sims | General Surgery | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Jeffrey D Phillips | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Ross D Riddle | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Julie A Schaufele | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Amy F Sims | Nurse Practitioner | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Richard E Hanson Jr. | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Street Address |
429 W ELM |
City | HOBART |
State | OK |
Zip | 73651-1615 |
Name | Specialty | Organization | Address |
---|---|---|---|
William L Sims | General Surgery | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Jeffrey D Phillips | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Ross D Riddle | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Julie A Schaufele | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Amy F Sims | Nurse Practitioner | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Richard E Hanson Jr. | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samantha L Jackson | Family Medicine | 429 W Elm St, Elk View General Hospital, Hobart, OK 73651-1615 | |
Michael D Krieger | General Practice | 401 W Forest Ln, Hobart, OK 73651-1645 | |
Tyson Neal Allard | Optometry | 212 S Main St, Hobart, OK 73651-3628 | |
Paul Douglas Reed | Chiropractic | 116 W 4th St, Hobart, OK 73651-4010 |
City | HOBART |
Zip Code | 73651 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | HOBART + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark A 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.