MATT EVANS (NPI# 1821431560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821431560 |
| Entity Type | Individual |
| Full Name | MATT EVANS |
| Other Name | MATTHEW DOUGLAS EVANS |
| Credential | MD |
| Practice Address |
1520 E Pima St Phoenix AZ 85034-4639 |
| Mailing Address |
3060 N Ridgecrest Unit 161 Mesa AZ 85207-1081 |
| Practice Telephone | 6024076280 |
| Mailing Telephone | 4803329227 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54817 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 322863 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2020 Capitol St Ne, Salem, OR 973010644 | 5033992424 | 5033757429 |
| 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 863142245 | 9284428710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368484 | Matt Evans | Case Manager/Care Coordinator | 5362 Lemee Ln, Mariposa, CA 95338-9556 | 2020-08-28 |
| 1962648428 | Matt Evans | Physical Therapist | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2009-01-05 |
| Street Address |
1520 E PIMA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462247 | Jonathan Manuel Garcia | Social Worker | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2020-06-16 |
| 1114586039 | Lauren Elizabeth Chadwick | Counselor | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2019-06-13 |
| 1740769637 | Community Bridges, Inc. | Non-emergency Medical Transport (VAN) | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1427534759 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-07-19 |
| 1821583741 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-06-22 |
| 1326547118 | Kara Gasperone | Marriage & Family Therapist | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-02-07 |
| 1164946158 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| 1710401708 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| 1730603739 | Community Bridges, Inc. | Clinic/Center | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.