Colby Evans (NPI# 1588766810, PAC ID# 5991705782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1588766810 |
| PAC ID by PECOS | 5991705782 |
| Professional Enrollment ID | I20061229000074 |
| Full Name | Colby Evans |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Address |
6618 Sitio Del Rio Blvd Suite D101 Austin TX 78730-1148 |
| Phone Number | 5124783376 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2000 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0042464125 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6618 Sitio Del Rio Blvd, Suite D101, Austin, TX 78730-1148 | 5124783376 | OLIVER STREET 5.01(A) INC. |
| 6618 Sitio Del Rio Blvd, Austin, TX 78730-1148 | 5124783376 | OLIVER STREET 5.01(A) INC. |
| 9701 Brodie Ln, Suite 106, Austin, TX 78748-6283 | 5122803939 | OLIVER STREET 5.01(A) INC. |
| 9701 Brodie Ln, Austin, TX 78748-6283 | 5122803939 | OLIVER STREET 5.01(A) INC. |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Awan | Dermatology | Oliver Street 5.01(a) Inc. | 4701 Medical Ctr Dr, Suite 1b, Mckinney, TX 75069-1831 |
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Calvin Lamont Williams | Dermatology | Oliver Street 5.01(a) Inc. | 9808 N Beach St, 600 Us Dermatology Partners, Fort Worth, TX 76244-6184 |
| Nancy Marchell | Dermatology | Oliver Street 5.01(a) Inc. | 1605 Rock Prairie Rd, Suite 300, College Station, TX 77845-8358 |
| Pamela N Murray | Physician Assistant | Oliver Street 5.01(a) Inc. | 5805 Coit Rd, Suite 203, Plano, TX 75093-6990 |
| Matthew Helm | Dermatology | Oliver Street 5.01(a) Inc. | 815 Pecan Grove Rd E, Us Dermatology Partners, Sherman, TX 75090-1768 |
| Matthew Thomas Hoffmann | Dermatology | Oliver Street 5.01(a) Inc. | 901 Walnut Hill Dr, Dermatology Associates, Longview, TX 75605-5054 |
| Young T Mcmahan | Dermatology | Oliver Street 5.01(a) Inc. | 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 |
| Kelly Jackson | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 1720 S Beckham, 102 Dermatology Associates, Tyler, TX 75701-4464 |
| Christine Lawson | Physician Assistant | Oliver Street 5.01(a) Inc. | 5030 Tennyson Pkwy, Plano, TX 75024-3002 |
| Street Address |
6618 SITIO DEL RIO BLVD SUITE D101 |
| City | AUSTIN |
| State | TX |
| Zip | 78730-1148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarosh Saleemi | Pain Management | 6618 Sitio Del Rio Blvd, Suite 101, Austin, TX 78730-1143 | |
| Martin C Molina | Family Medicine | 6618 Sitio Del Rio Blvd, B101, Austin, TX 78730-1146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena M Hierseman | Physician Assistant | 6500 River Place Blvd, Suite 250, Austin, TX 78730-1119 | |
| Lindsay F Weber | Physician Assistant | On Site Dermatology of Texas Pllc | 6500 River Place Blvd, Suite 250, Austin, TX 78730-1119 |
| Patrice M Simon | Physician Assistant | On Site Dermatology of Texas Pllc | 6500 River Place Blvd, Suite 250, Austin, TX 78730-1119 |
| Dennis E Smith | Optometry | 10601 Ranch Rd, 2222 G, Austin, TX 78730-1138 | |
| Juan Narvaez | Physical Therapy | Ideal Physical Therapy of Texas LLC | 10815 Ranch Rd, 2222 Bldg 2, Austin, TX 78730-1159 |
| Rosario Coccimiglio | Chiropractic | 10815 Farm Rd, 2222 3c 100, Austin, TX 78730-1159 | |
| Eduardo R Elizondo | Physical Medicine and Rehabilitation | David Keith Harris Md, Pllc | 10815 Rr, 2222 Bldg 3b, Austin, TX 78730-1159 |
| David K Harris | Physical Medicine and Rehabilitation | David Keith Harris Md, Pllc | 10815 Rr, 2222 Bldg 3b, Austin, TX 78730-1159 |
| Benjamin L Rawson | Physical Medicine and Rehabilitation | David Keith Harris Md, Pllc | 10815 Rr, 2222 Bldg 3b, Austin, TX 78730-1159 |
| Eric Rosenberger | Plastic and Reconstructive Surgery | 10815 Rr, 2222 Bldg 3c, Austin, TX 78730-1159 | |
| Find all physicians in zip 78730 | |||
| City | AUSTIN |
| Zip Code | 78730 |
| Specialty | DERMATOLOGY |
| City + Specialty | AUSTIN + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.