JASON CHARLES EVANS (NPI# 1902825243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902825243 |
| Entity Type | Individual |
| Full Name | JASON CHARLES EVANS |
| Credential | PA-C |
| Practice Address |
1095 W Huron St Waterford MI 48328-3735 |
| Practice Telephone | 2486829611 |
| Practice Fax Number | 2486826051 |
| Mailing Telephone | 2486829611 |
| Mailing Fax Number | 2486826051 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003819 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785130 | Jason Michael Evans | Chiropractor | 997 Raintree Cir Ste 170, Allen, TX 75013-4955 | 2019-02-05 |
| 1386189736 | Jason Evans | Nurse Anesthetist, Certified Registered | 506 6th Street, Brooklyn, Ny 11215, Brooklyn, NY 11215 | 2016-12-21 |
| 1861852022 | Jason Evans | Licensed Practical Nurse | 511 N 12th St, Miamisburg, OH 45342-1959 | 2016-03-02 |
| 1093704306 | Jason Anthony Evans | Podiatrist | 2800 E Commercial Blvd, Suite 207, Fort Lauderdale, FL 33308-4229 | 2005-10-19 |
| 1982691911 | Jason Thomas Evans | Chiropractor | 732 S Washington Ave, Madison, SD 57042-3519 | 2005-10-04 |
| 1942799648 | Jason Colt Evans | Behavior Technician | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2018-05-08 |
| 1407395262 | Jason Lamar Evans | Nurse Practitioner | 3700 Cahaba Beach Rd, Birmingham, AL 35242-5225 | 2017-02-13 |
| 1942675491 | Jason Evans | Physician Assistant | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2015-12-09 |
| 1861823635 | Jason Charl Evans | Physician Assistant | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2013-12-04 |
| 1033452206 | Jason Anthony Evans | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2013-04-05 |
| Street Address |
1095 W HURON ST |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932248317 | Marvin D. Siegel, M.d., P.C. | Dermatology | 1095 W Huron St, Waterford, MI 48328-3735 | 2007-02-05 |
| 1104915875 | Michael Tobin Siegel | Dermatology | 1095 W Huron St, Waterford, MI 48328-3735 | 2006-10-12 |
| 1003905712 | Marvin David Siegel | Dermatology | 1095 W Huron St, Waterford, MI 48328-3735 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1912541681 | Robert Oshnock | Physician Assistant | 1012 W Huron St, Waterford, MI 48328-3730 | 2019-11-05 |
| 1326279035 | Jodi V Hodge | Physician Assistant | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2009-07-29 |
| 1053572933 | Jaia Sojka | Physician Assistant | 818 Forrest Dr, Waterford, WI 53185-4577 | 2008-06-23 |
| 1770691073 | Michael Belitz | Physician Assistant | 7092 Highland Rd, Waterford, MI 48327-1502 | 2006-08-27 |
| 1437104189 | James C Combs | Physician Assistant | 1305 N Oakland Blvd, Er Department, Waterford, MI 48327 | 2006-05-23 |
| 1255386900 | Scott C Bonzheim | Physician Assistant | 1305 N Oakland Blvd, Er Department, Waterford, MI 48327 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| 1497388441 | Nicole Elisabeth Giddey | Physician Assistant | 15240 Silver Pkwy Apt 301, Fenton, MI 48430-3487 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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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.