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TRACY EVANS M.D NPI 1467479402


NPI Information

NPI: 1467479402
Provider Name: TRACY EVANS, M.D
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

Organization: DLP CONEMAUGH PHYSICIAN PRACTICES LLC

PECOS Registration: Yes

Address:
555 N DUKE ST
LANCASTER, PA
ZIP 17602
Phone: (717) 544-5511
Get Directions

Tracy Evans, M.D is a surgical critical care surgery in Lancaster, PA with 28 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Tracy Evans, M.D NPI is 1467479402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

555 N DUKE ST
LANCASTER, PA
ZIP 17602-250
Phone: (717) 544-5511

The NPI 1467479402 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 7/16/2006 and was last updated on 10/6/2014.


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
12086S0102XSurgerySurgical Critical Care219458-1NEW YORKNo
22086S0102XSurgerySurgical Critical CareMD434688PENNSYLVANIAYes

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
102512018MEDICAIDNEW YORK
23845N1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3I02463MEDICARE UPINNEW YORK

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.