DR. TYLER ANDREW EVANS (NPI# 1629416920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629416920 |
| Entity Type | Individual |
| Full Name | DR. TYLER ANDREW EVANS |
| Credential | M.D. |
| Practice Address |
1001 Main St Ste 300 Peoria IL 61606-2036 |
| Mailing Address |
Po Box 19248 Springfield IL 62794-9248 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 036.153539 | IL | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
036.153539 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 W 10th St, #6200, Indianapolis, IN 462023082 | 3172780394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1043879943 | Tyler Renee Evans | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-06-13 |
| 1316506249 | Tyler Evans | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2019-06-13 |
| 1588133912 | Tyler Evans | Behavior Technician | 7351 W Charleston Blvd Ste 120, Las Vegas, NV 89117-1572 | 2018-11-14 |
| 1093078495 | Tyler Lee Evans | Anesthesiology | 1120 15th St, Augusta, GA 30912-0004 | 2012-06-20 |
| 1639449846 | Tyler Alexander Evans | Chiropractor | 13128 Totem Lake Blvd Ne, Suite 203, Kirkland, WA 98034-2953 | 2012-01-04 |
| 1912227125 | Tyler Blair Evans | Internal Medicine | 1300 N Vermont Ave Ste 407, Los Angeles, CA 90027-6086 | 2010-06-10 |
| 1538494513 | Tyler Jonathan Evans | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2009-10-09 |
| Street Address |
1001 MAIN ST STE 300 |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952351256 | Susan M Canty | Physician Assistant | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2006-05-10 |
| 1215389531 | Michelle Heal | Nurse Practitioner | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2016-07-11 |
| 1801148416 | Shelley Anne Scaff | Nurse Practitioner | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2012-10-05 |
| 1427333087 | Colette K Hill | Physician Assistant | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2011-10-14 |
| 1659689461 | Robin A Alley | Surgery | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2010-09-15 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1528130333 | Marla R. Anderson | Surgery | 1001 Main St Ste 300, Peoria, IL 61606-2036 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1205864170 | Norman C Estes | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1538498209 | Dr. Richard D. Corley, S.c. | Plastic Surgery | 416 St. Mark Ct., #106, Peoria, IL 61603-1928 | 2009-12-09 |
| 1801914882 | Richard D Corley | Plastic Surgery | 808 W Trailcreek Dr, Peoria, IL 61614-1862 | 2007-03-27 |
| 1780709394 | Jason D Johnson | Plastic Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2007-03-20 |
| 1356344626 | Brian B Bruggeman | Plastic Surgery | 14155 N. 83rd Ave, Suite 147, Peoria, AZ 85381 | 2005-05-31 |
| 1538162201 | Martin Lloyd Johnson | Plastic Surgery | 13090 N 94th Dr, Suite 101, Peoria, AZ 85381-4256 | 2005-05-24 |
| 1154512127 | Kunvarji Gangji Shah | Plastic Surgery | 802 W Trailcreek Dr, Peoria, IL 61614-1862 | 2007-08-06 |
| 1366462475 | Glyn E. Jones | Plastic Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-07-20 |
| 1417923517 | John E Lomax | Plastic Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-02-27 |
| 1356336317 | Michael N Desvigne | Plastic Surgery | 9165 W Thunderbird Rd, Suite 100, Peoria, AZ 85381-4847 | 2005-09-15 |
| Find all providers in PEORIA | ||||
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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.