DR. IRA K. EVANS (NPI# 1821076522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821076522 |
| Entity Type | Individual |
| Full Name | DR. IRA K. EVANS |
| Credential | M.D. |
| Practice Address |
1 Orthopedic Dr 2nd Floor Peabody MA 01960-1668 |
| Practice Telephone | 9788186350 |
| Practice Fax Number | 9788186355 |
| Mailing Telephone | 9788186350 |
| Mailing Fax Number | 9788186355 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 76107 | MA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
76107 | MA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
76107 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3096408 | 05 | |
| MA | TUFTS | 76107 | 01 |
| MA | BCBS | J12491 | 01 |
| Street Address |
1 ORTHOPEDIC DR 2ND FLOOR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205915592 | Cara M Puglia | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-06 |
| 1225117021 | Andrew Morin | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-03 |
| 1154400919 | Abra Nicolo Lembo | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-03 |
| 1972681328 | Christopher John Telep | Occupational Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1891873105 | Patricia Gagnon Mcgee | Occupational Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1285712513 | Michael Joseph Mccormick | Physical Therapy Assistant | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1043396872 | Scott Braje | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-27 |
| 1154410587 | Janet Hope Sherman | Radiology | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-12 |
| 1629166905 | Physiotherapy Associates Inc | Clinic/Center | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-11 |
| 1023127297 | Paula Jeanne Krukonis | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538502042 | Ryan William Churchill | Orthopaedic Surgery | 4 Centennial Dr Ste 201, Peabody, MA 01960-7930 | 2013-04-15 |
| 1992733927 | Todd Mcmichael Obrien | Orthopaedic Surgery | 4 Centennial Dr Suite 201, New England Orthopedic Specialists, Peabody, MA 01960 | 2006-06-29 |
| 1265983761 | Sports Medicine North Orthopedic Surgery, Inc. | Orthopaedic Surgery | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2016-10-19 |
| 1629475736 | New England Orthopedic Specialists, LLC | Orthopaedic Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2014-12-04 |
| 1790913218 | Erycka E Florie | Orthopaedic Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2009-06-23 |
| 1558598375 | Eric C Fu | Orthopaedic Surgery | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2009-06-19 |
| 1427248566 | Margaret J Lobo | Orthopaedic Surgery | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2007-07-25 |
| 1376740456 | John Karbassi | Orthopaedic Surgery | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2007-07-02 |
| 1124230305 | Benjamin J Schwartz | Orthopaedic Surgery | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2007-05-03 |
| 1174662407 | Jason David Archibald | Orthopaedic Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2007-02-05 |
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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.