Active NPI
Evan R Law, PA-C
- Medical Physician Assistant
- Farmington, UT
National Provider Identifier
1003031378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 361472-1206
- Practice address
- 444 W Bourne Cir Ste 200
Farmington, UT 84025-3657 - Phone
- (801) 776-0174
- Fax
- (801) 285-3904
- NPI assigned
- Apr 13, 2007
- Last updated
- Sep 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 361472-1206 | UT | Primary |
Addresses
Primary practice location
444 W Bourne Cir Ste 200
Farmington, UT 84025-3657
Mailing address
444 W Bourne Cir Ste 200
Farmington, UT 84025-3657
Phone (801) 397-3000
Other practice location 1
5682 S 3500 W # 2a
Roy, UT 84067-9108
Phone (801) 776-0174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477643179 | Other | UT | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Utah Inc | Past | Accepting new patients | |
| Utah Heart Clinic. LC | Past | Accepting new patients |
Interoperability endpoints
- evan.law@direct.utahcardiology.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1811093453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1003031378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 W BOURNE CIR STE 200",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840253657",
"telephone_number": "801-397-3000",
"fax_number": "801-397-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W BOURNE CIR STE 200",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840253657",
"telephone_number": "801-776-0174",
"fax_number": "801-285-3904"
}
],
"practiceLocations": [
{
"address_1": "5682 S 3500 W # 2A",
"address_purpose": "LOCATION",
"city": "Roy",
"state": "UT",
"postal_code": "840679108",
"country_code": "US",
"telephone_number": "801-776-0174",
"fax_number": "801-825-3904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAW",
"first_name": "EVAN",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "361472-1206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1477643179",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, UT
- Alexandra Larsen, RBT
- Lisa A. Larson, L.M.T.
- Tracy Clark Larson, RN
- Aundrea Lathrop, RBT
- Latter Day Counseling Services, LLC (Latter Day Counseling Services)
- Benjamin David Leaver, DMD
- Steven Brent Lee, M.D.
- Legacy Heights Oral & Facial Surgery PLLC (Legacy Heights Oral & Facial Surgery)
- Legacy Heights Surgery Center PC
- Travis M Lehman, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.