JESSICA MARIE EVANS (NPI# 1235495011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495011 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE EVANS |
| Other Name | JESSICA RANDO |
| Credential | MD |
| Practice Address |
3535 Southern Blvd. Kettering OH 45429-1221 |
| Mailing Address |
3131 Newmark Dr Ste 220 Miamisburg OH 45342-5400 |
| Practice Telephone | 9373958166 |
| Mailing Telephone | 9374388910 |
| Mailing Fax Number | 9374364984 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35.122407 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0096394 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | |
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | |
| 6147 State Route 122, Middletown, OH 450055201 | 5132613419 | |
| 1141 N Monroe Dr, Xenia, OH 453851619 | 9373522500 | 9373523501 |
| 600 W Main St, Troy, OH 453732928 | 9379807010 | 9379807019 |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | 9377024509 |
| 450 Washington Jackson Rd Ste F, Eaton, OH 453208699 | 9374568376 | 9374568377 |
| 8701 Old Troy Pike, Huber Heights, OH 454241066 | 9375583338 | 9375583349 |
| 1997 Miamisburg Centerville Rd, Centerville, OH 454593811 | 9374016228 | 9374016447 |
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233211 | 9377234609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902369887 | Jessica Evans | Occupational Therapist | 57 Sanford Pl, Altamont, NY 12009-9253 | 2019-04-09 |
| 1255804571 | Jessica Evans | Licensed Vocational Nurse | 12903 Sugar Ridge Blvd Apt 3004, Stafford, TX 77477-3141 | 2019-01-09 |
| 1487149027 | Jessica Evans | Specialist | 26 Landview Dr, Dix Hills, NY 11746-5844 | 2018-06-26 |
| 1962925800 | Jessica Evans | Social Worker | 1350 S Lapeer Rd, Oxford, MI 48371-6106 | 2017-07-23 |
| 1386184760 | Jessica Evans | Behavior Technician | 2500 Gulf Beach Hwy, Pensacola, FL 32507-2831 | 2017-03-03 |
| 1437526225 | Jessica Ann Evans | Specialist/Technologist | 11610 Chanticleer Dr, Pensacola, FL 32507-9168 | 2015-08-27 |
| 1407260888 | Jessica Evans | Physical Therapy Assistant | 925 Highway 25, Strawberry, AR 72469-8570 | 2014-06-13 |
| 1962786095 | Jessica Lyn Evans | Advanced Practice Midwife | 3219 Clifton Ave., Ste. 210, Cincinnati, OH 45220-3041 | 2011-10-07 |
| 1598918914 | Jessica Lynne Evans | Speech-Language Pathologist | 423 Western Avenue, Albany, NY 12203 | 2008-10-29 |
| 1659435964 | Jessica E Evans | Speech-Language Pathologist | 2801 Ponce De Leon Blvd, Coral Gables, FL 33134-6924 | 2006-12-21 |
| Street Address |
3535 SOUTHERN BLVD. |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073592150 | Scott Joseph Arnold | Pathology | 3535 Southern Blvd., Attn: Surgical Pathology Dept, Kettering, OH 45429 | 2006-01-17 |
| 1184966293 | Katherine Elaine House | Internal Medicine | 3535 Southern Blvd., Kettering, OH 45429 | 2013-03-27 |
| 1366644049 | Angie Marie Elsheikh | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2007-06-04 |
| 1790999845 | Daniel Elliott Buxton | Pathology | 3535 Southern Blvd., Kettering Pathology Associates, Kettering, OH 45429 | 2007-05-09 |
| 1639129703 | Patricia Ann Mcdowell | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2006-05-11 |
| 1871543942 | Geoffrey Kenneth Hahm | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2006-05-11 |
| 1730139494 | Linda Wilkins Chu | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2006-05-11 |
| 1093764755 | Yvonne Gwyneth Dowdy | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2006-05-09 |
| 1609825215 | Richard Joseph Pelstring | Pathology | 3535 Southern Blvd., Kettering, OH 45429 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1760466726 | Ryan Garner Mihata | Emergency Medicine | 3525 Southern Blvd, Wsu Em - Cox Building, Kettering, OH 45429-1221 | 2005-12-02 |
| 1609871458 | Gary E Gries | Emergency Medicine | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2005-06-17 |
| 1679079909 | Cole Little | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2018-04-04 |
| 1992230908 | Timothy Dekoninck | Emergency Medicine | 3525 Southern Blvd, 3525 Southern Blvd., Kettering, OH 45429-1221 | 2017-04-27 |
| 1790218535 | Daniel Shigley | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-08 |
| 1780117630 | Gregory Mark Gottschlich | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-07 |
| 1740637446 | John Mark Miller | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429 | 2016-05-23 |
| 1841646064 | Jordan Jacobsen | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-05-05 |
| 1902251796 | Nicholas Allen Elliott | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-04-28 |
| Find all providers in KETTERING | ||||
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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.