ANDREW EVANS (NPI# 1588194328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588194328 |
| Entity Type | Individual |
| Full Name | ANDREW EVANS |
| Credential | DMD |
| Practice Address |
611 W Park St Urbana IL 61801-2529 |
| Mailing Address |
2418 Fields South Dr Apt 104 Champaign IL 61822-3400 |
| Practice Telephone | 2176207705 |
| Mailing Telephone | 2176207705 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
018.002025 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802006 | Andrew Evans | Specialist/Technologist | 6526 Ido Way Ste 100, Chattanooga, TN 37421-5150 | 2019-07-02 |
| 1891358586 | Andrew A Evans | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St Brigham Bldg/316, Reno, NV 89557-0001 | 2019-04-17 |
| 1518362482 | Andrew Evans | Physician Assistant | 1 Viale Ferrarin, Apo, AE 36100 | 2014-11-04 |
| 1932184538 | Andrew J Evans | Radiology | 560 1st Ave Fl 2, New York, NY 10016-6402 | 2005-12-07 |
| 1003265919 | Andrew Michael Evans | Physical Therapist | 13a Main St, Suite 4, Sparta, NJ 07871-1941 | 2016-06-10 |
| 1104202969 | Andrew Evans | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Medical Education, Wellington, FL 33414-6103 | 2015-08-04 |
| 1306226386 | Andrew Christian Evans | Registered Nurse | 975 Kirman Ave, Reno, NV 89502-0993 | 2015-06-04 |
| 1376982199 | Andrew Mark Evans | Podiatrist | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2013-06-14 |
| 1730322660 | Andrew George Evans | Pathology | 601 Elmwood Ave, Box 626, Rochester, NY 14642-0001 | 2009-04-07 |
| 1063692721 | Andrew Bennett Evans | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2007-11-11 |
| Street Address |
611 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
| 1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
| 1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
| 1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
| 1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083829782 | Richard David Dietz | Dentist | 314 Patrick Ave, Urbana, OH 43078-2339 | 2007-05-14 |
| 1063583367 | Robert Bruce Sinclair | Dentist | 404 W Green St, Urbana, IL 61801-3267 | 2006-11-10 |
| 1376612929 | Andrew Zamora | Dentist | 1866 E Us Highway 36, Urbana, OH 43078-9600 | 2006-11-07 |
| 1972516250 | Mack Wright | Dentist | 1028 E Us Highway 36, Urbana, OH 43078-9007 | 2006-08-15 |
| 1528683851 | Renee Seungwon Lee | Dentist | 1812 Philo Rd, Urbana, IL 61802-6016 | 2020-06-12 |
| 1629615794 | Limazwick-urbana LLC | Dentist | 139 Patrick Ave, Urbana, OH 43078-2123 | 2019-12-07 |
| 1568841344 | Illini Smiles Dental Care PC | Dentist | 125 W Main St, Urbana, IL 61801-2714 | 2015-05-26 |
| 1356780241 | Joseph Yong | Dentist | 1866 E Us Highway 36, Urbana, OH 43078-9600 | 2013-06-24 |
| 1912295700 | Justin Taylor Beck | Dentist | 848 Scioto St, Urbana, OH 43078-2255 | 2011-07-14 |
| 1316175458 | Cole Anderson | Dentist | 602 W University Ave, Urbana, IL 61801-2530 | 2009-06-28 |
| Find all providers in URBANA | ||||
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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.