DR. VAN EVANOFF M.D. NPI 1851394175

NPI Information

  • NPI: 1851394175
  • Provider Name: DR. VAN EVANOFF, M.D.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • Address: 2204 N SECTION ST
    SUITE B
    SULLIVAN, IN
    ZIP 47882
  • Phone: (812) 268-2556

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NPI Details

DR. Van Evanoff, M.D. is an interventional pain medicine pain medicine in Sullivan, IN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Van Evanoff, M.D. NPI is 1851394175. 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:

2204 N SECTION ST
SUITE B
SULLIVAN, IN
ZIP 47882-010
Phone: (812) 268-2556
Fax: (812) 268-2652

The enumeration date for this NPI number is 5/31/2005 and was last updated on 5/25/2016.

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
1208VP0014XPain MedicineInterventional Pain Medicine01053652AINDIANAYes

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
1000000338733OTHERINDIANABLUE CROSS & BLUE SHIELD
2218940AMEDICARE PININDIANA
3H84987MEDICARE UPININDIANA
4IN2146003MEDICARE PININDIANA
5P01625340OTHERINDIANARAILROAD MEDICARE
6200262220MEDICAIDINDIANA

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: 11/21/2025

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