EVAN C FLEMING (NPI# 1780984021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780984021 |
| Entity Type | Individual |
| Full Name | EVAN C FLEMING |
| Credential | PA |
| Practice Address |
785 Russell St Craig CO 81625 |
| Mailing Address |
785 Russell St Craig CO 81625-2019 |
| Practice Telephone | 9708262400 |
| Mailing Telephone | 9708262400 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085003942 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 085003942 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6000 N Allen Rd, Peoria, IL 616143294 | 3096911400 | 3096933175 |
| Street Address |
785 RUSSELL ST |
| City | CRAIG |
| State | CO |
| Zip Code | 81625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171398 | Cinde K Porter | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2005-08-19 |
| 1245843481 | Scl Health Medical Group - Grand Junction, LLC | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2020-08-27 |
| 1922514132 | Centennial Home Care, LLC | Hospice Care, Community Based | 785 Russell St, Craig, CO 81625-2019 | 2017-12-26 |
| 1396139507 | The Memorial Hospital | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2015-03-25 |
| 1649673807 | Margaret Schoeberl | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2014-10-02 |
| 1851723332 | Derek Harper | Podiatrist | 785 Russell St, Craig, CO 81625-2019 | 2013-08-06 |
| 1154583094 | Kathleen C. Keating | Obstetrics & Gynecology | 785 Russell St, Craig, CO 81625-2019 | 2008-07-01 |
| 1306038492 | Tracey Wall | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2007-08-14 |
| 1538365986 | Elise D Sullivan | Family Medicine | 785 Russell St, Craig, CO 81625-2019 | 2007-06-22 |
| 1760686539 | Kevin Scott Borchard | Orthopaedic Surgery | 785 Russell St, Craig, CO 81625-2019 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
| Find all providers in zip 81625 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
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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.