GREGORY EVANS (NPI# 1568842995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568842995 |
| Entity Type | Individual |
| Full Name | GREGORY EVANS |
| Practice Address |
3107 W Diamond St Philadelphia PA 19121-1111 |
| Practice Telephone | 6108034928 |
| Mailing Telephone | 6108034928 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
27913601 | PA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | A4138662 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093833170 | Gregory T Evans | Podiatrist | 908 Wyoming Ave, Ste C, Wyoming, PA 18644-1300 | 2007-03-27 |
| 1215083142 | Gregory Dean Evans | Dentist | 3221 Eastbrook Dr, A-101, Fort Collins, CO 80525 | 2007-01-25 |
| 1922044205 | Gregory E Evans | Optometrist | 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270-4901 | 2006-06-22 |
| 1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
| 1467904730 | Gregory Evans | Physical Therapy Assistant | 25132 Oakhurst Dr, Suite Number 195, Spring, TX 77386-1452 | 2016-11-02 |
| 1558816033 | Gregory Evans | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-08-24 |
| 1073788816 | Gregory E Evans | Anesthesiology | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2008-04-23 |
| 1942401054 | Gregory Delano Evans | Case Manager/Care Coordinator | 258 W A St, Hayward, CA 94541-4850 | 2007-05-29 |
| 1649333956 | Gregory Myles Evans | Counselor | 1025 Montgomery Hwy, Ste 214, Birmingham, AL 35216-2805 | 2006-12-18 |
| 1851492862 | Gregory Alan Evans | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2006-09-25 |
| Street Address |
3107 W DIAMOND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968014 | Brenda L Scott | Technician | 711 Spring Garden St Apt 614, Philadelphia, PA 19123-3515 | 2019-12-10 |
| 1093350175 | Ann Marie Gazey | Technician | 665 Waring St, Philadelphia, PA 19116-2043 | 2019-11-12 |
| 1346630738 | Sarah El | Technician | 1617 John F Kennedy Blvd Ste 555, Philadelphia, PA 19103-1840 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130460 | Raushanah Jenkins | Technician | 2726 Spear Ave, Glenside, PA 19038-2617 | 2020-10-01 |
| 1477160422 | Christine Ann Terese Pearce | Technician | 122 Cobblestone Dr, Gilbertsville, PA 19525-8843 | 2020-09-24 |
| 1316579212 | Fabien D Auguste | Technician | 261 Old York Rd Ste 703b, Jenkintown, PA 19046-3735 | 2020-02-07 |
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1013552777 | Carli R Gaynor | Technician | 355 Jefferson St, Simpson, PA 18407-1213 | 2019-11-16 |
| 1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
| 1619518487 | Carmen Maria Carroll | Technician | 40 Herman St, Feasterville Trevose, PA 19053-2324 | 2019-10-03 |
| 1164063343 | Virginia Keohane | Technician | 355 Orchard Rd, Springfield, PA 19064-2318 | 2019-09-30 |
| 1215588421 | Susan Lee Hoffman | Technician | 16 Ridgeview Rd, Newtown Square, PA 19073-3002 | 2019-09-28 |
| 1013568252 | Michael Munchback | Technician | 6 Maroon Rd, Levittown, PA 19056-3605 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
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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.