MR. JEFFREY L EVANS (NPI# 1528047008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528047008 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY L EVANS |
| Credential | MD |
| Practice Address |
130 Jefferson Street Mansfield LA 71052 |
| Mailing Address |
Po Box 740 Mansfield LA 71052 |
| Practice Telephone | 3188722700 |
| Practice Fax Number | 3188726214 |
| Mailing Telephone | 3188722700 |
| Mailing Fax Number | 3188726214 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | :016326 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 080120718 | 01 | |
| STERLING OPTION 1 | B63077 | 01 | |
| LA | 1325961 | 05 | |
| LA | BCBS | 430921723B | 01 |
| OCHSNERS | 721417526EV | 01 |
| 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 |
| 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 |
| 1013255561 | Jeffrey B Evans | Counselor | 1260 H St, Greeley, CO 80631-9115 | 2013-01-17 |
| Street Address |
130 JEFFERSON STREET |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982717716 | Lori Eubanks | Family Medicine | 130 Jefferson Street, Mansfield, LA 71052 | 2006-08-16 |
| 1932188422 | Denis Kamberov | Internal Medicine | 130 Jefferson Street, Mansfield, LA 71052 | 2006-01-12 |
| 1851370332 | Benjamin Leggio | Family Medicine | 130 Jefferson Street, Mansfield, LA 71052 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| 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 |
|---|---|---|---|---|
| 1396351474 | Rudo P Madondo-gwitira | Family Medicine | 4201 Palmer Dr, Mansfield, TX 76063-3432 | 2020-09-23 |
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1992143549 | Philip U Ramirez | Family Medicine | 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 | 2013-06-05 |
| 1396066171 | Jeffrey Urieto | Family Medicine | 1776 North Us 287, Suite 220, Mansfield, TX 76063 | 2010-06-16 |
| 1184882813 | Doyle Fairchild Gallman Jr. | Family Medicine | 2360 Highway 157 N, Mansfield, TX 76063-7540 | 2008-05-29 |
| 1699958579 | Pannaben H Nangha | Family Medicine | 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 | 2007-12-13 |
| 1992905376 | Joseph M Kim | Family Medicine | 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 | 2007-07-23 |
| 1487861738 | Erica L Sails | Family Medicine | 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 | 2007-05-17 |
| 1578618492 | Doyle F Gallman Do Pa | Family Medicine | 2360 Fm 157 N, Mansfield, TX 76063-7540 | 2007-01-23 |
| 1689730996 | Patricia Charlene Laurie Brock | Family Medicine | 1420 Parkside Dr, Mansfield, TX 76063-8618 | 2006-12-29 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on MR. JEFFREY L EVANS.
| 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.