Edward E. Evans (NPI# 1164470035, PAC ID# 9739183617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1164470035 |
| PAC ID by PECOS | 9739183617 |
| Professional Enrollment ID | I20090511000299 |
| Full Name | Edward E. Evans |
| Organization Legal Name | MADISON WOMENS CLINIC PLLC |
| Address |
15 Madison Professional Park Rexburg ID 83440-2057 |
| Phone Number | 2083566185 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5991853582 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130025 | MADISON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Madison Professional Park, Rexburg, ID 83440-2057 | 2083566185 | MADISON WOMENS CLINIC PLLC |
| Organization Legal Name | MADISON WOMENS CLINIC PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toni Frahm | Certified Nurse Midwife (cnm) | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| John W Allred | Obstetrics/gynecology | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Fay Call | Nurse Practitioner | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Matthew H Allred | Obstetrics/gynecology | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Street Address |
15 MADISON PROFESSIONAL PARK |
| City | REXBURG |
| State | ID |
| Zip | 83440-2057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toni Frahm | Certified Nurse Midwife (cnm) | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| John W Allred | Obstetrics/gynecology | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Fay Call | Nurse Practitioner | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Matthew H Allred | Obstetrics/gynecology | Madison Womens Clinic Pllc | 15 Madison Professional Park, Rexburg, ID 83440-2057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | REXBURG + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Edward E. 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.