DR. STEPHEN DOUGLAS EVANS (NPI# 1952350050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952350050 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN DOUGLAS EVANS |
| Credential | M.D. |
| Practice Address |
1112 N Main St Roswell NM 88201-5010 |
| Practice Telephone | 5756274200 |
| Practice Fax Number | 5756274212 |
| Mailing Telephone | 5756274200 |
| Mailing Fax Number | 5756274212 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 86-226 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00039479 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619186772 | Stephen James Evans | Dentist | 8385 Orchard St, Rogers, AR 72756-9705 | 2007-05-22 |
| 1316165939 | Stephen Robert Evans | Dentist | 214 W. Main St., Bullard, TX 75757-0970 | 2007-04-20 |
| 1083641260 | Stephen Evans | Family Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2006-06-26 |
| 1356696694 | Stephen Ray Evans | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2012-07-23 |
| 1750648754 | Stephen Daniel Evans | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-04-13 |
| 1194015412 | Stephen K Evans | Anesthesiology | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2011-04-08 |
| 1396068912 | Stephen A Evans | Pharmacist | 1125 S Main St, Chelsea Pharmacy, Chelsea, MI 48118 | 2010-03-10 |
| 1235468919 | Stephen Clark Evans | Social Worker | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2009-12-09 |
| 1215970793 | Stephen Evans | Internal Medicine | 1287 Burns Way, Kalispell, MT 59901-3109 | 2006-06-13 |
| 1407896442 | Stephen Bir Evans | Emergency Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5293 | 2006-06-07 |
| Street Address |
1112 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060835 | Marilyn Nishitani | Nurse Practitioner | 1112 N Main St, Roswell, NM 88201-5010 | 2005-08-16 |
| 1609273283 | Lovelace Health System LLC | Family Medicine | 1112 N Main St, Roswell, NM 88201-5010 | 2014-11-26 |
| 1255588067 | Linda Y Jones | Nurse Practitioner | 1112 N Main St, Roswell, NM 88201-5010 | 2008-08-22 |
| 1699796862 | Linda M. Blunt | Family Medicine | 1112 N Main St, Roswell, NM 88201-5010 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235303090 | Jason Taylor Pope | Emergency Medicine | 1008 Mullis St, Roswell, NM 88201-1157 | 2008-04-14 |
| 1053583948 | West Road Emergency Physicians | Emergency Medicine | 117 East 19th St., Roswell, NM 88201-5151 | 2008-03-31 |
| 1730365669 | Mrunalee Milan Mehta | Emergency Medicine | 720 Glen Royal Dr, Roswell, GA 30076-3649 | 2008-01-09 |
| 1134282114 | Damon C. Kimes | Emergency Medicine | 1300 Upper Hembree Rd Ste B, Roswell, GA 30076-0927 | 2006-12-19 |
| 1598874794 | Alto Medical Services, PC | Emergency Medicine | 2110 S Main Street, Roswell, NM 88203 | 2006-08-30 |
| 1457467649 | David M Turner | Emergency Medicine | 1600 Se Main, Suite F, Roswell, NM 88203 | 2006-08-21 |
| 1487678918 | Lisa M Perez | Emergency Medicine | 303 Bombay Ln, Roswell, GA 30076-5816 | 2006-07-27 |
| 1548298383 | Hulannie Jenkins | Emergency Medicine | 245 Boulder Dr, Roswell, GA 30075-4158 | 2006-06-29 |
| 1467497479 | Charles V Pollack Jr. | Emergency Medicine | 1120 Wilde Run Ct, Roswell, GA 30075-7163 | 2006-06-17 |
| 1245270727 | Bernard F Oddi | Emergency Medicine | 328 Lum Crowe Rd, Roswell, GA 30075-6879 | 2006-06-06 |
| Find all providers in ROSWELL | ||||
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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.