DR. WAYNE EVANS (NPI# 1184631715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184631715 |
Entity Type | Individual |
Full Name | DR. WAYNE EVANS |
Credential | M.D. |
Practice Address |
1401 E State St Rockford IL 61104 |
Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
Practice Telephone | 8154894970 |
Mailing Telephone | 7796967150 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2018-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
036-115952 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831220979 | Wayne Edward Evans | Psychologist | 15732 Crabbs Branch Way, 2nd Floor, Derwood, MD 20855-2620 | 2007-03-08 |
1912074105 | Wayne Thomas Evans | Physical Therapy Assistant | 125 Williamson Pl, Winchester, VA 22602-6402 | 2006-11-30 |
Street Address |
1401 E STATE ST |
City | ROCKFORD |
State | IL |
Zip Code | 61104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
1184232621 | Sound Physicians Emergency Medicine of Illinois LLC | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-07-21 |
1235764556 | Alexandra Paganis | Nurse Practitioner | 1401 E State St, Rockford, IL 61104-2315 | 2020-03-06 |
1538790266 | Sherri L Paprocki | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-01-31 |
1417593310 | Jason C Hipe | Registered Nurse | 1401 E State St, Rockford, IL 61104-2315 | 2019-11-26 |
1487298642 | Matthew Montgomery | Physical Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-31 |
1265076541 | Sarah Kemp | Occupational Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-30 |
1891341939 | Swedishamerican Hospital | Pharmacy | 1401 E State St, Rockford, IL 61104-2315 | 2019-08-14 |
1306408885 | Jonathan Ray Nelson | Physical Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
1124680608 | Kirsten Sympson | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
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Taxonomy Code | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598812414 | Paula Joyce Melone | Obstetrics & Gynecology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2007-01-04 |
1568557692 | Rupesh Patel | Obstetrics & Gynecology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-10-04 |
1326158502 | Nancy J. Carlson | Obstetrics & Gynecology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
1760592950 | Howard K. Kaufman | Obstetrics & Gynecology | 1401 E State St, Rockford, IL 61104 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639550767 | Robert Kaufmann | Obstetrics & Gynecology | 8220 Farmington Cemetery Rd, Pleasant Plains, IL 62677-3748 | 2015-06-15 |
1023413382 | Yvon Jeune Nazon | Obstetrics & Gynecology | 2315 E 93rd St Ste 309, Chicago, IL 60617 | 2014-10-29 |
1669761177 | Bethany Treas Stetson | Obstetrics & Gynecology | Northwestern Medical Group, 250 E Superior/03-2304, Chicago, IL 60611 | 2011-04-05 |
1821272162 | Farhan Hanif | Obstetrics & Gynecology | 1555 Barrington Rd Ste 215, Hoffman Estates, IL 60169-1063 | 2007-12-21 |
1922162551 | Andre Bieniarz | Obstetrics & Gynecology | 820 S. Wood St., M/c 808, Chicago, IL 60612-7313 | 2006-12-20 |
1366454316 | Franklyn C Christensen | Obstetrics & Gynecology | 611 W. Park St, Urbana, IL 61801-2500 | 2006-08-11 |
1548203615 | Lee C Yang | Obstetrics & Gynecology | 1555 North Barrington Road, Hoffman Estates, IL 60194 | 2006-06-14 |
1235171877 | Jude R Duval | Obstetrics & Gynecology | 1425 N Randall Rd Ste 1-2150, Maternal Fetal Consultants, Sc, Elgin, IL 60123-2300 | 2006-06-11 |
1679524581 | Jill Kathleen Moran | Obstetrics & Gynecology | 3743 Highland Ave Ste 1002, Downers Grove, IL 60515-1594 | 2006-05-15 |
1679549299 | Nawar Hatoum | Obstetrics & Gynecology | 2507 N Halsted St, Chicago Maternal Fetal Medicine, S.c, Chicago, IL 60614-9267 | 2006-02-23 |
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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.