JOSEPH MARK EVANS (NPI# 1063527471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063527471 |
Entity Type | Individual |
Full Name | JOSEPH MARK EVANS |
Credential | M.D. |
Practice Address |
11311 Bridgeport Way Sw Ste 205 Lakewood WA 98499-3051 |
Practice Telephone | 2539852733 |
Practice Fax Number | 2539852868 |
Mailing Telephone | 2539852733 |
Mailing Fax Number | 2539852868 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2020-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | MD60653027 | WA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MD20110 | OR | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD60653027 | WA | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD20110 | OR | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
5125 Skyline Rd S, Salem, OR 973069427 | 5033615400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699031070 | Joseph Tyrone Evans | Specialist | 101 W 128th St, 2c, New York, NY 10027-3003 | 2012-04-10 |
1467587279 | Joseph E Evans | Dentist | 1129 C West Kansas, Liberty, MO 64068 | 2007-02-22 |
1235212432 | Joseph Evans | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2006-10-23 |
1619967551 | Joseph Evans | Dentist | 2206 Spedale Ct, Suite 6, Spring Hill, TN 37174-6137 | 2005-10-23 |
1154971760 | Joseph Evans | Behavior Technician | 119 Wind Chime Ct Ste 4, Raleigh, NC 27615-6433 | 2019-09-16 |
1568936615 | Joseph Daniel Evans | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-01-11 |
1700353547 | Joseph Bret Evans | Nurse Practitioner | 410 Connell Rd, Valdosta, GA 31602-1898 | 2018-10-30 |
1447769922 | Joseph Evans | Case Manager/Care Coordinator | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2017-09-27 |
1912438508 | Joseph Roger Evans Jr. | Community Health Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2017-03-24 |
1508214735 | Joseph Evans | Counselor | 610 Yakima Ave, Tacoma, WA 98405-4851 | 2016-05-27 |
Street Address |
11311 BRIDGEPORT WAY SW STE 205 |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-3051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912393786 | Blake Wachi | Surgery | 11311 Bridgeport Way Sw Ste 205, Lakewood, WA 98499-3051 | 2015-04-08 |
1114319928 | Amber Dahnke | Physician Assistant | 11311 Bridgeport Way Sw Ste 205, Lakewood, WA 98499-3051 | 2015-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
Find all providers in zip 98499 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689098956 | Catholic Health Initiatives Colorado | Surgery | 11700 W 2nd Pl Ste 210, Lakewood, CO 80228-1716 | 2014-02-07 |
1710202783 | Catholic Health Initiatives Colorado | Surgery | 11700 West 2nd Place, Suite 210c, Lakewood, CO 80228 | 2010-04-02 |
1508196130 | David Swedler | Surgery | 11307 Bridgeport Way Sw Ste 220a, Lakewood, WA 98499 | 2010-01-04 |
1306093513 | Mohammed Zubair | Surgery | 1164 S Balsam Street, Lakewood, CO 80232 | 2008-08-20 |
1114113263 | Judith Lynn Williams | Surgery | 12610 W Bayaud Ave, #10, Lakewood, CO 80228-2022 | 2007-09-22 |
1881745172 | Emery J Chang LLC | Surgery | 11300 Bridgeport Way Sw, Unit C, Lakewood, WA 98499-3052 | 2007-01-15 |
1871694570 | Felix Shaoul Shamash | Surgery | 26 Pine Blvd, Lakewood, NJ 08701-5203 | 2006-09-26 |
1477509784 | Steven G Duras | Surgery | 11307 Bridgept Way Sw, Ste 220-a, Lakewood, WA 98499-3024 | 2006-05-26 |
1083699227 | Marvin D Shie IIi | Surgery | 15644 Madison Avenue, Suite 107, Lakewood, OH 44107-5622 | 2005-12-09 |
1003812942 | Joseph A Cocco | Surgery | 255 Union Blvd Ste 300, Lakewood, CO 80228-1859 | 2005-06-24 |
Find all providers in LAKEWOOD |
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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.