BARRY J EVANS (NPI# 1386632297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386632297 |
| Entity Type | Individual |
| Full Name | BARRY J EVANS |
| Credential | MD |
| Practice Address |
3551 N Broad St Philadelphia PA 19140-4160 |
| Mailing Address |
Shriners Hospital for Children Philadelphia Lockbox #7642 - Po Box 8500 Philadelphia PA 19178-0001 |
| Practice Telephone | 2154304022 |
| Practice Fax Number | 2154304079 |
| Mailing Telephone | 8132818478 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD037391L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019238260001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639169121 | Barry Orrick Evans | Dentist | 12887 Nw Cornell Rd, Portland, OR 97229-5813 | 2005-10-26 |
| 1073732228 | Barry A Evans | Physical Therapist | 3030 Nw Expressway St, Suite 809, Oklahoma City, OK 73112-5474 | 2007-04-25 |
| 1679617823 | Barry N Evans | Counselor | 1616 N Litchfield Rd, 240, Goodyear, AZ 85338-1252 | 2007-02-19 |
| 1023177201 | Barry Leroy Evans | Social Worker | 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | 2006-12-06 |
| Street Address |
3551 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804370 | Luz Perez-schwartz | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2005-07-11 |
| 1376101410 | Michael Walter Szymendera | Dietitian, Registered | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2019-06-04 |
| 1760966956 | Giana Indelicato | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-09-24 |
| 1023506276 | Shriners Hospitals for Children | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-04-24 |
| 1144725151 | Ellen Kligerman Waters | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-03-30 |
| 1548711617 | Melissa Torres Cramer | Physician Assistant | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2016-10-24 |
| 1083067029 | Emily Stankoski | Physician Assistant | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2016-07-14 |
| 1336537042 | Pediatric Orthotic and Prosthetic Services- Northeast, LLC | Prosthetic/Orthotic Supplier | 3551 N Broad St, Philadelphia, PA 19140 | 2015-01-05 |
| 1023426749 | Melodee Arevalo Mendoza | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2014-07-25 |
| 1659615706 | Shriners Hospitals for Children | Orthopaedic Surgery | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039893 | Charlotte Zahara Woods-hill | Pediatrics | 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 | 2010-03-23 |
| 1790910339 | Amir Bar | Pediatrics | 160 E. Erie Ave, Philadelphia, PA 19134 | 2009-05-27 |
| 1528149150 | Arun Chopra | Pediatrics | Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-10-18 |
| 1750331278 | Sharon Calaman | Pediatrics | St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-12 |
| 1699739599 | Paul Michael Shore | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2006-04-17 |
| 1639142086 | Robert A Berg | Pediatrics | 324 S. 34th Street, Suite 9329, Philadelphia, PA 19104-4399 | 2006-02-08 |
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1083232557 | Riane Goodwin | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-07-10 |
| 1518501733 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-31 |
| 1750944500 | Natalie Horvatinovic | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-04-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.