PAUL EDWARD EVANS III (NPI# 1790776763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776763 |
| Entity Type | Individual |
| Full Name | PAUL EDWARD EVANS III |
| Credential | MD |
| Practice Address |
4107 W Mercury Blvd Hampton VA 23666-3729 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7572517977 |
| Practice Fax Number | 7572517995 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101032924 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740571876 | Paul Christopher Evans | Pharmacist | 975 E Cypress Ave, Redding, CA 96002-1045 | 2011-04-24 |
| 1922319052 | Paul Michael Evans | Surgery | 9200 Pinecroft Dr Ste 255, Shenandoah, TX 77380-3286 | 2010-06-23 |
| 1982870275 | Paul Evans | Physical Therapist | 7900 Airways Blvd Bldg A, Ste 2, Southaven, MS 38671-4113 | 2008-05-06 |
| 1912021379 | Paul Lewis Evans | Dentist | 563 Brunswick Rd., #1, Grass Valley, CA 95945 | 2007-03-19 |
| 1205840394 | Paul Evans | Chiropractor | 5480 Philadelphia St, Suite H, Chino, CA 91710-2486 | 2006-07-27 |
| 1245209444 | Paul Evans | Family Medicine | 625 Old Peachtree Rd, Georgia Campus PCom, Suwanee, GA 30024 | 2006-03-17 |
| 1720445935 | Paul Evans | Dietitian, Registered | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2016-01-19 |
| 1720498769 | Paul Thomas Evans | Counselor | 3936 W Roosevelt Rd, Suite 2, Chicago, IL 60624-4389 | 2014-04-29 |
| 1437417615 | Paul M Evans | Pharmacist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2012-04-25 |
| 1033483888 | Paul Joseph Evans | Nurse Practitioner | 1615 Blackiston View Dr, Clarksville, IN 47129-2035 | 2012-02-25 |
| Street Address |
4107 W MERCURY BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599176 | Nichole Marie Brooks | Nurse Practitioner | 4107 W Mercury Blvd, Riverside Pace, Hampton, VA 23666-3729 | 2016-10-17 |
| 1477755650 | Riverside Retirement Services, Inc. | PACE Provider Organization | 4107 W Mercury Blvd, Hampton, VA 23666-3729 | 2007-06-01 |
| 1497731301 | Sharon Linda Petitjean | Family Medicine | 4107 W Mercury Blvd, Hampton, VA 23666-3729 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053843987 | Jessica Weng | Family Medicine | 191 Fox Hill Rd Ste D, Hampton, VA 23669-2360 | 2017-03-30 |
| 1831621887 | Allen Family Healthcare LLC | Family Medicine | 149 Berkeley Way, Hampton, GA 30228-4082 | 2017-03-29 |
| 1700174117 | Rodney Leron Thompson | Family Medicine | Patient First - Hampton, 2304 W Mercury Blvd, Hampton, VA 23666 | 2011-07-19 |
| 1255626602 | Daniel Adrian Whitelocke | Family Medicine | 402 S Lee St, Hampton, AR 71744-8615 | 2011-06-14 |
| 1386893592 | Carlos F Acosta Md Ltd | Family Medicine | 2100 Hartford Rd, Hampton, VA 23666-2409 | 2008-09-11 |
| 1396908067 | Robert Scott Fell | Family Medicine | 850 Enterprise Pkwy Ste 2200, Hampton, VA 23666-6252 | 2008-07-03 |
| 1578781704 | Shahbaz Khan | Family Medicine | 850 Gateway Blvd., Hampton, VA 23666 | 2007-04-23 |
| 1477680858 | Tidewater Family Medicine, P C | Family Medicine | 2114a Hartford Rd, Hampton, VA 23666-2409 | 2007-02-27 |
| 1720150246 | North Hunterdon Physician Assoc | Family Medicine | 37 Rupell Rd, Hampton, NJ 08827 | 2006-11-14 |
| 1740350669 | Shirin Valiani | Family Medicine | 25 Goss Drive, Hampton, GA 30228-1855 | 2006-11-08 |
| Find all providers in HAMPTON | ||||
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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.