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EDWARD E EVANS MD NPI 1164470035


NPI Profile

NPI: 1164470035
Provider Name: EDWARD E EVANS, MD
Classification:Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: MADISON WOMENS CLINIC PLLC

PECOS Registration: Yes

Address:
15 MADISON PROFESSIONAL PARK
REXBURG, ID
ZIP 83440
Get Directions

Phone: (208) 356-6185

Edward E Evans, MD is an obstetrics gynecology in Rexburg, ID with 33 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Edward E Evans, MD NPI is 1164470035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1988

The provider's business location address is:

15 MADISON PROFESSIONAL PARK
REXBURG, ID
ZIP 83440-057
Phone: (208) 356-6185
Fax: (208) 356-0378

The NPI 1164470035 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Urinalysis, manual test (HCPCS:81002)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/22/2015.


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
1207V00000XObstetrics & GynecologyM10591IDAHOYes

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
100001017396OTHERIDAHOBLUE SHIELD
21196003MEDICARE UPINIDAHO
3F65976MEDICARE UPINGEORGIA
477955OTHERIDAHOBLUE CROSS
5F65976MEDICARE UPINIDAHO
6808292100MEDICAIDIDAHO

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: 6/14/2021

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.