DR. LARRY CRAIG EVANS (NPI# 1669540522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669540522 |
| Entity Type | Individual |
| Full Name | DR. LARRY CRAIG EVANS |
| Credential | D.O. |
| Practice Address |
2770 Cortez Ave Idaho Falls ID 83404-7590 |
| Practice Telephone | 2085224000 |
| Practice Fax Number | 2085284254 |
| Mailing Telephone | 2085224000 |
| Mailing Fax Number | 2085284254 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
O-0468 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808040300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083682439 | Larry A Evans | Dermatology | 79 Turnpike Ave, Portsmouth, RI 02871-1419 | 2006-03-10 |
| 1770557373 | Larry W Evans | Anesthesiology | 6202 Iola Ave Ste 101, Lubbock, TX 79424-2729 | 2006-02-13 |
| 1104815042 | Larry James Evans | Dentist | 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236 | 2005-10-13 |
| 1730727660 | Larry Brian Evans | Dentist | 55 Towler Rd, Lawrenceville, GA 30046-4717 | 2019-12-10 |
| 1710421912 | Larry Evans | Counselor | 621 W Madrone St, 621 W Madrone Street, Roseburg, OR 97470-3090 | 2016-12-07 |
| 1093089492 | Larry Evans Jr. | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2012-03-02 |
| 1699959437 | Larry Evans | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2007-12-27 |
| 1922198589 | Larry Evans | Psychologist | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1427069020 | Larry Burnett Evans | Dentist | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 | 2006-08-10 |
| 1356316202 | Larry D Evans | Dentist | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 | 2006-02-22 |
| Street Address |
2770 CORTEZ AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487623179 | Heather A Stolworthy | Nurse Practitioner | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-15 |
| 1497028609 | Michael Scott Richins | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404 | 2012-02-17 |
| 1457520900 | Grand Teton Gastroenterology | Nurse Practitioner | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2008-02-28 |
| 1235175027 | Ned R Warner | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-06-21 |
| 1043279771 | Leeanne B Sherwin | Nurse Practitioner | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-21 |
| 1649249947 | Paul M Hendrix | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-17 |
| 1437128733 | Todd A Williams | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-17 |
| 1154390938 | Grand Teton Gastroenterology, Pa | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-15 |
| 1538138243 | Clint E Behrend | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738797 | Eric A Wingerson | Internal Medicine | 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 | 2005-05-27 |
| 1497028609 | Michael Scott Richins | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404 | 2012-02-17 |
| 1780766071 | Eric A. Wingerson, D.o. & Digestive Health Center, PC | Internal Medicine | 1995 E 17th St, Suite #4, Idaho Falls, ID 83404-6493 | 2006-10-19 |
| 1235175027 | Ned R Warner | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-06-21 |
| 1649249947 | Paul M Hendrix | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-17 |
| 1437128733 | Todd A Williams | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-17 |
| 1154390938 | Grand Teton Gastroenterology, Pa | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-15 |
| 1538138243 | Clint E Behrend | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
| 1679890057 | Walter W Hair | Internal Medicine | 1402 N Promontory Rd, Boise, ID 83702-3040 | 2010-04-26 |
| 1659492809 | Bruce R Croffy | Internal Medicine | 3000 E Pine Ave, Meridian, ID 83642-5995 | 2007-04-03 |
| 1598843039 | Judith Erika Csanky | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2006-11-01 |
| 1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
| 1164515276 | Healing Arts Day Surgery LLC | Internal Medicine | 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 | 2006-10-02 |
| 1194817023 | Treasure Valley Gastroenterology Specialists Inc | Internal Medicine | 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 | 2006-09-28 |
| 1740386432 | John Carl Morgenstern | Internal Medicine | 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 | 2006-09-16 |
| 1164525853 | Raquel Croitoru | Internal Medicine | 222 W Iowa Ave Ste A, Nampa, ID 83686-6814 | 2006-09-07 |
| 1295754265 | Southeast Idaho Gastroenterology,pllc | Internal Medicine | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.