CHARLES A EVANS MD PA (NPI# 1427275858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427275858 |
| Entity Type | Organization |
| Organization Name | CHARLES A EVANS MD PA |
| Practice Address |
203 Christie Street Lufkin TX 75904 |
| Practice Telephone | 9366995433 |
| Practice Fax Number | 9366995465 |
| Mailing Telephone | 9366995433 |
| Mailing Fax Number | 9366995465 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | MRS. TRACY EVANS (ADMINISTRATOR) |
| Authorized Official Telephone | 9366995433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J3094 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROV# | 0066MT | 01 |
| TX | 123490806 | 05 | |
| TX | 179637701 | 05 | |
| TX | STATE MEDICAL LICENSE # | J3094 | 01 |
| Street Address |
203 CHRISTIE STREET |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962897041 | Lisa Mclane | Family Medicine | 10 Medical Center Blvd Ste K2, Lufkin, TX 75904-3173 | 2015-04-05 |
| 1245586296 | Kindrell S Tucker | Family Medicine | 1320 S John Redditt Dr Ste B, Lufkin, TX 75904-4368 | 2012-07-27 |
| 1386960581 | Family Health Center, Pa | Family Medicine | 529 Gaslight Blvd, Lufkin, TX 75904-3127 | 2010-04-13 |
| 1063671584 | Warren Hunter Looney | Family Medicine | 181 Plum Rdg, Lufkin, TX 75904-0570 | 2008-06-09 |
| 1154523231 | Pablo Ernesto Splenser | Family Medicine | 2306 W Frank Ave Ste A, Lufkin, TX 75904-3599 | 2007-06-01 |
| 1053438846 | John Khoa Ha | Family Medicine | 6 Medical Center Blvd, Lufkin, TX 75904-3163 | 2007-03-25 |
| 1699817726 | Chantal Rayunza Culpepper | Family Medicine | 517 N Brentwood, Lufkin, TX 75904-7124 | 2007-02-13 |
| 1598842502 | Ch Mcclure Md Pa | Family Medicine | 300 N John Redditt Drive, Suite 5, Lufkin, TX 75904-2634 | 2006-11-01 |
| 1215011747 | Savitha Balakrishna | Family Medicine | 525 Gaslight Blvd, Lufkin, TX 75904 | 2006-10-24 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| Find all providers in LUFKIN | ||||
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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.