David Evans is a Physician Assistant in Kettering, Ohio. David Evans practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Evans is 1063410538. The last update date is 2021-01-12.
David Evans's current location address is 3533 Southern Blvd Ste 2250, Kettering, Ohio. You can contact this provider via phone number 9375340330 and fax number 9375228995. The mailing address for David Evans is 3533 Southern Blvd Ste 2250, Kettering, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Evans |
|---|---|
| Address | 3533 Southern Blvd Ste 2250, Kettering, Ohio |
| Phone Number | 9375340330 |
| Fax Number | 9375228995 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063410538 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 3533 Southern Blvd Ste 2250 |
|---|---|
| City | Kettering |
| State | Ohio (OH) |
| Post Code | 454291270 |
| Phone Number | 9375340330 |
| Fax Number | 9375228995 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50000431 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88798 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Evans by the Centers for Medicare & Medicaid Services?
The David Evans has been issued the NPI (National Provider Identifier) 1063410538 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David Evans is located?
The David Evans is situated at the following address: 3533 Southern Blvd Ste 2250, Kettering, OH, 454291270.
What is the area of specialization for David Evans, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Evans is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the David Evans receive the assignment of its 1063410538 from the Centers for Medicare & Medicaid Services?
The David Evans was issued its 1063410538 by the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date was the information regarding David Evans, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Evans, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-12.