Robert L. Evans, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35058944 Issued in OH

Practice address

8185 Corporate Way
Mason, OH 45040-9335

Phone

(513) 398-7171

Fax

(513) 398-8683

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1033119201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406809",
            "telephone_number": "513-398-7171",
            "fax_number": "513-398-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409335",
            "telephone_number": "513-398-7171",
            "fax_number": "513-398-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35058944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069815",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE",
            "identifier": "5894404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Douglas Ernsting, PCC, LSW
• Julia Marie Evanoff, OD
• Constance S Evans
• Dakota Evans
• Ravynn Evans
• Teresa Evans
• Elisha Eveleigh, PH.D.
• Evergreen Holistic Therapy
• Everybody'S Health Family Medicine and Acute Care, LLC
• Everybody'S Health Regenerative Medicine, LLC

• Pediatrics Physician in Mason, OH
• Providers in Mason, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.