ELLEN R EVANS M.D. NPI 1679696611

NPI Information

NPI: 1679696611
Provider Name: ELLEN R EVANS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
9662 N 29TH ST
OMAHA, NE
ZIP 68112
Phone: (402) 510-9923
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Ellen R Evans, M.D. is a family medicine in Omaha, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ellen R Evans, M.D. NPI is 1679696611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9662 N 29TH ST
OMAHA, NE
ZIP 68112-524
Phone: (402) 510-9923

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/8/2007.

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	207Q00000X	Family Medicine		17202	NEBRASKA	Yes
2	207Q00000X	Family Medicine		G5030	TEXAS	X
3	207Q00000X	Family Medicine		14875	OKLAHOMA	X
4	207QG0300X	Family Medicine	Geriatric Medicine	17202	NEBRASKA	X
5	207QG0300X	Family Medicine	Geriatric Medicine	G5030	TEXAS	X
6	207QG0300X	Family Medicine	Geriatric Medicine	14875	OKLAHOMA	X

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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