TYLER JONATHAN EVANS D.O. NPI 1538494513

NPI Information

NPI: 1538494513
Provider Name: TYLER JONATHAN EVANS, D.O.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: SOMC MEDICAL CARE FOUNDATION, INC.

PECOS Registration: Yes

Address:
1805 27TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 356-8117
Get Directions

Tyler Jonathan Evans, D.O. is a neuroradiology radiology in Portsmouth, OH with 16 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Tyler Jonathan Evans, D.O. NPI is 1538494513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2008

The provider's business location address is:

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662-640
Phone: (740) 356-8117
Fax: (740) 353-1214

The NPI 1538494513 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 10/9/2009 and was last updated on 12/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	34.009731	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0106606	MEDICAID	OHIO
2	7100347550	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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