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DR. JOHN JOSEPH EVANS M.D. NPI 1093079709


NPI Information

NPI: 1093079709
Provider Name: DR. JOHN JOSEPH EVANS, M.D.
Classification: Pathology - 207ZC0006X
Entity Type: Individual

Specialization: Clinical Pathology

Organization: SANFORD MEDICAL CENTER FARGO

PECOS Registration: Yes

Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000
Get Directions

DR. John Joseph Evans, M.D. is a clinical pathology pathology in Fargo, ND with 12 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. John Joseph Evans, M.D. NPI is 1093079709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
Phone: (701) 234-2000
Fax: (701) 234-2345

The NPI 1093079709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2012 and was last updated on 9/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery6857NEBRASKANo
2207ZC0006XPathologyClinical Pathology17572NORTH DAKOTAYes
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology10212229-1205UTAHNo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology70789WISCONSINNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11093079709MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.