MARK ANTHONY EVANS (NPI# 1205928983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205928983 |
| Entity Type | Individual |
| Full Name | MARK ANTHONY EVANS |
| Credential | PAC |
| Practice Address |
417 N Main Grainte OK 73547 |
| Mailing Address |
417 North Main P.o. Box 243 Granite OK 73547 |
| Practice Telephone | 5805354598 |
| Mailing Telephone | 5805354598 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 802 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699750C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| 1992970362 | Mark C Evans | Dentist | 3424 First Ave, San Diego, CA 92103 | 2008-04-28 |
| 1427228428 | Mark Evans | Registered Nurse | 198 Upper Powderly St, Carbondale, PA 18407-2777 | 2008-03-05 |
| 1508084856 | Mark T Evans | Dentist | 1676 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3304 | 2007-04-23 |
| 1437373487 | Mark Kendal Evans | Psychologist | 2650 Madison Rd, Cincinnati, OH 45208-1332 | 2007-04-12 |
| 1205969524 | Mark Edward Evans | Dentist | 8925 Executive Park Dr, Knoxville, TN 37923-4708 | 2007-03-14 |
| 1285784025 | Mark D Evans | Dentist | 315 Lamar St., Maryville, TN 37804-5848 | 2007-01-12 |
| 1568479087 | Mark Alan Evans | Family Medicine | 3567 Scioto Run Blvd, Hilliard, OH 43026-3013 | 2006-08-01 |
| 1972542686 | Mark Peter Evans | Acupuncturist | 1829 Riverside Dr, Berlin, NH 03570-3143 | 2006-06-06 |
| 1518926302 | Mark Joseph Evans | Psychologist | 1430 Broadway Rm 304, New York, NY 10018-9226 | 2006-03-21 |
| Street Address |
417 N MAIN |
| City | GRAINTE |
| State | OK |
| Zip Code | 73547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1700168366 | Greer County Independent School District #3 | Local Education Agency (LEA) | 507 West Sixth Street, Granite, OK 73547 | 2011-09-09 |
| 1285897108 | Robert L Bernard | Physician Assistant | 1700 E 1st Street, Granite, OK 73547 | 2008-07-10 |
| 1396911830 | N Evans Einterprises LLC | Physician Assistant | 417 N. Main, Granite, OK 73547 | 2008-05-05 |
| 1184848830 | Robert Louis Albright | Dentist | 1701 East First Street, Granite, OK 73547 | 2007-04-12 |
| 1922147305 | Blackhawk Mangum, LLC | General Acute Care Hospital | 417 North Main St, Granite, OK 73547 | 2007-02-05 |
| 1497121974 | Tressa Brewer | Speech-Language Pathologist | 507 W 6th, Granite, OK 73547-0098 | 2015-08-19 |
| 1508249814 | The Kids Investment Corp | Pharmacy | 316 Main St, Granite, OK 73547-0158 | 2015-07-06 |
| 1295804920 | Granite Drug, Inc | Pharmacy | 316 Main St, Granite, OK 73547-0158 | 2006-11-07 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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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.