DR. CLIFFORD L EVANS MD NPI 1063406056

NPI Information

NPI: 1063406056
Provider Name: DR. CLIFFORD L EVANS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
912 E DRILLING ST
MORRILTON, AR
ZIP 72110
Phone: (501) 354-9746
Get Directions

DR. Clifford L Evans, MD is a family medicine in Morrilton, AR. 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. DR. Clifford L Evans, MD NPI is 1063406056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

912 E DRILLING ST
MORRILTON, AR
ZIP 72110-218
Phone: (501) 354-9746
Fax: (501) 354-0553

The enumeration date for this NPI number is 9/6/2005 and was last updated on 7/17/2009.

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		C3306	ARKANSAS	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	020548706	OTHER	ARKANSAS	AMCO
2	4099493	OTHER	ARKANSAS	AETNA
3	02120016500	OTHER	ARKANSAS	QUALCHOICE
4	A37553	OTHER	ARKANSAS	CIGNA HEALTHCARE
5	020548706	OTHER	ARKANSAS	FIRST HEALTH
6	121959001	MEDICAID	ARKANSAS
7	51594	OTHER	ARKANSAS	BC/BS
8	080191177	OTHER	ARKANSAS	PALMETTO GBA
9	A37553	MEDICARE UPIN	ARKANSAS
10	0100555	OTHER	ARKANSAS	UNITED HEALTH CARE
11	020548706	OTHER	ARKANSAS	THE PRUDENTAL-AARP CLAIMS
12	51594	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
13	020548706	OTHER	ARKANSAS	TRICARE

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

NPI Synchronization or Removal

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