James Robert Evans in Johnson City - Vascular Surgery
James Robert Evans - NPI 1295724284
James Robert Evans is a Vascular Surgery in Johnson City, Tennessee. James Robert Evans practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for James Robert Evans is 1295724284. The last update date is 2017-04-19.
James Robert Evans's current location address is 310 N State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239297393 and fax number 4239290872. The mailing address for James Robert Evans is 310 N State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Robert Evans |
|---|---|
| Address | 310 N State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4239297393 |
| Fax Number | 4239290872 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295724284 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 310 N State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046008 |
| Phone Number | 4239297393 |
| Fax Number | 4239290872 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 17930 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q006764 | TN | -- | |
| 3052015 | TN | -- |
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What is the unique identification code assigned to James Robert Evans by the Centers for Medicare & Medicaid Services?
The James Robert Evans has been issued the NPI (National Provider Identifier) 1295724284. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James Robert Evans's physical address?
The James Robert Evans is physically located at 310 N State Of Franklin Rd, in the city of Johnson City, TN, with the postal code 376046008.
What is the James Robert Evans's area of specialization and corresponding taxonomy classification?
The James Robert Evans's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the James Robert Evans receive its 1295724284 assignment from the Centers for Medicare & Medicaid Services?
The James Robert Evans was assigned its 1295724284 by the Centers for Medicare & Medicaid Services on 2005-10-21.
As of what date were the details pertaining to James Robert Evans last refreshed?
The information related to the James Robert Evans, including its address, specialty, and other relevant details, was last updated on 2017-04-19.