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EVANS MEDICAL FOUNDATION INC. NPI 1912954124


NPI Information

NPI: 1912954124
Provider Name: EVANS MEDICAL FOUNDATION, INC.

Former Legal Business Name: FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1 BOSTON MEDICAL CTR PL
BOSTON, MA
ZIP 02118
Phone: (617) 358-3510
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EVANS MEDICAL FOUNDATION, INC. is an internal medicine in Boston, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EVANS MEDICAL FOUNDATION, INC. NPI is 1912954124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Faculty Practice Foundation Inc Evans Medical Foundation Inc.

The provider's business location address is:

1 BOSTON MEDICAL CTR PL
BOSTON, MA
ZIP 02118-908
Phone: (617) 358-3510

The provider's authorized official is Anthony Hollenberg .
The authorized official title is President and has the following contact phone number (617) 638-7470.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/20/2023.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RI0200XInternal MedicineInfectious DiseaseNo
7207RN0300XInternal MedicineNephrologyNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207RR0500XInternal MedicineRheumatologyNo
10363LA2200XNurse PractitionerAdult HealthNo
11207R00000XInternal MedicineYes

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
1110056578EMEDICAIDMASSACHUSETTS
23089030MEDICAIDNEW HAMPSHIRE

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: 4/28/2024

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