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THOMAS B EVELY DO NPI 1205217577


NPI Information

NPI: 1205217577
Provider Name: THOMAS B EVELY, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC

PECOS Registration: Yes

Address:
130 W RAVINE RD
SUITE 9C
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-3292
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Thomas B Evely, DO is a student in an organized health care education training program in Kingsport, TN with 9 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Thomas B Evely, DO NPI is 1205217577. 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:

130 W RAVINE RD
SUITE 9C
KINGSPORT, TN
ZIP 37660-837
Phone: (423) 224-3292
Fax: (423) 224-3215

The NPI 1205217577 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 6/12/2015 and was last updated on 11/15/2021.


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
1207XX0005XOrthopaedic SurgerySports Medicine2620ALABAMANo
2390200000XStudent in an Organized Health Care Education/Training Program86TENNESSEEYes

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

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.