Organization Active NPI

Lawrence G Evans MD LLC

Doing business as Orthopedic Alliance

  • Orthopaedic Surgery Physician
  • Fenton, MO
National Provider Identifier
1053644872
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31680 Issued in MO
Legal business name
LAWRENCE G EVANS MD LLC
Doing business as
Orthopedic Alliance
Practice address
1011 Bowles Ave
Suite 400
Fenton, MO 63026-2395
Phone
(314) 821-4884
Fax
(314) 821-4885
NPI assigned
Sep 11, 2009
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Lawrence G Evans, MD
Title
Owner
Phone
(314) 821-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 31680 MO Primary

Addresses

Primary practice location

1011 Bowles Ave
Suite 400
Fenton, MO 63026-2395

Mailing address

1836 Lackland Hill Pkwy
Saint Louis, MO 63146-3572
Phone (314) 989-0300

Other names 1

  • Orthopedic Alliance Doing business as

National Provider Directory

National Provider Directory

Locations

1011 Bowles Ave
Ste 400
Fenton, MO 63026
Phone (314) 821-4884

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1053644872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 400",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262395",
            "telephone_number": "314-821-4884",
            "fax_number": "314-821-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE G EVANS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-821-4884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "31680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.