DR. JEFFREY EVANS (NPI# 1326032707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326032707 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY EVANS |
| Credential | MD |
| Practice Address |
330 Mount Auburn St Emergency Department Cambridge MA 02138-5502 |
| Practice Telephone | 6174995617 |
| Mailing Telephone | 6174995617 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | A91979 | CA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 212480 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0166260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171633 | Jeffrey Evans | Dentist | 4501 Daly Dr Ste 310, Chantilly, VA 20151-3707 | 2020-07-15 |
| 1417107335 | Jeffrey John Evans | Speech-Language Pathologist | 11201 Washburn Ave S, Bloomington, MN 55431-3833 | 2008-09-27 |
| 1316102015 | Jeffrey Baird Evans | Dentist | 7525 N. Cedar Ave., Suite 105, Fresno, CA 93720 | 2008-07-22 |
| 1326215245 | Jeffrey Paul Evans | Licensed Practical Nurse | 300 Bremen St, Apt. 8, Rochester, NY 14621-2365 | 2008-05-09 |
| 1053414326 | Jeffrey Neal Evans | Internal Medicine | 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 | 2006-09-05 |
| 1528047008 | Jeffrey L Evans | Family Medicine | 130 Jefferson Street, Mansfield, LA 71052 | 2006-01-12 |
| 1598245540 | Jeffrey Evans | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-08-20 |
| 1962996991 | Jeffrey Allan Evans | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306 | 2018-06-22 |
| 1457899973 | Jeffrey Evans | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-02-03 |
| 1801218318 | Jeffrey Evans | Counselor | 1360 Johnson Blvd Ste 103, South Lake Tahoe, CA 96150-8201 | 2014-01-17 |
| Street Address |
330 MOUNT AUBURN ST EMERGENCY DEPARTMENT |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859762 | Susan A Abookire | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-05-31 |
| 1013515279 | Alaaeldin Ahmed | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-10-10 |
| 1447863618 | Omar Hamzeh Al Omari | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-08-27 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1881217263 | Claire C Alexanian | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-05-20 |
| 1689297087 | Arun Cumpelik | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-20 |
| 1104448125 | Alireza Ghajar | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-13 |
| 1902427768 | Alexis Sholtis | Social Worker | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-04 |
| 1043839814 | Max Joseph Wallack | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-13 |
| 1821617010 | Hezha Seradji Aghdam | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| 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 |
|---|---|---|---|---|
| 1851752513 | Chesapeake Medical Solutions, Pa | Emergency Medicine | 300 Sunburst Hwy, Cambridge, MD 21613-2506 | 2016-03-09 |
| 1336575224 | Gerald A Moppert | Emergency Medicine | 263 Cobble Rd, Cambridge, NY 12816-2228 | 2013-09-24 |
| 1831410562 | Kenneth D Marshall | Emergency Medicine | 54 Murray Hill Rd, Cambridge, MA 02140-1038 | 2010-06-16 |
| 1013054980 | Eric Fete | Emergency Medicine | 1341 Clark St., Cambridge, OH 43725 | 2007-01-31 |
| 1174562672 | Janet M Brockwell | Emergency Medicine | 66737 Toland Dr, Cambridge, OH 43725-1155 | 2006-06-06 |
| 1558314203 | Eastern Shore Emergency Medicine Physicians, LLC | Emergency Medicine | 300 Bryn St, Cambridge, MD 21613-1908 | 2006-05-17 |
| 1063493633 | Allen Mario Poma | Emergency Medicine | 150 Vassal Ln, Cambridge, MA 02138-6839 | 2005-11-09 |
| 1104367382 | Hannah Bach | Emergency Medicine | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2017-03-20 |
| 1417369406 | Alon Neidich | Emergency Medicine | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2014-05-23 |
| 1598194102 | Southern Ohio Emergency Physicians, LLP | Emergency Medicine | 1341 Clark St, Cambridge, OH 43725-9614 | 2013-11-04 |
| Find all providers in CAMBRIDGE | ||||
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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.