Robert Evens, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

105786 Issued in MO

Practice address

Hwy 61 South
Crystal City, MO 63019

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Jun 13, 2006

Last updated

Mar 13, 2008By the provider in NPPES

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: revens1047590@direct.carenet.org

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.

• Mercy Hospital Jefferson

  • General Acute Care Hospital
  • Festus, MO
  • NPI 1508859661
  Medicare reassignment NPD
• Mercy Hospital Lincoln

  • Critical Access Hospital
  • Troy, MO
  • NPI 1962808733
  Medicare reassignment NPD
• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984

  Emergency Medicine

  Medicare reassignment NPD
• Mercy Hospitals East Communities

  dba Mercy Hospital Washington

  • General Acute Care Hospital
  • Washington, MO
  • NPI 1285664177

  Emergency Medicine

  Medicare reassignment NPD
• Mercy Hospitals East Communities

  dba Mercy Hospital St Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169

  Emergency Medicine

  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment NPD
• Mercy Hospital Jefferson

  dba Mercy Home Health

  • Home Health Agency
  • Festus, MO
  • NPI 1396748588
  NPD
• Mercy Hospital South

  • Medicare Defined Swing Bed Hospital Unit
  • Saint Louis, MO
  • NPI 1033714209
  NPD
• Mercy Hospitals East Communities

  dba Mercy Hospital Washington McAuley Clinic

  • Rural Health Clinic/Center
  • Washington, MO
  • NPI 1104912997
  NPD
• Mercy Hospitals East Communities

  dba Mercy St. Louis Transport Ambulance

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902
  NPD
• Crystal City Emergency Services, LLC

  • Nurse Practitioner
  • Crystal City, MO
  • NPI 1801844618

  Emergency Medicine

  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1114309168
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1073556700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827431",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827431",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 61 SOUTH",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "63019",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENS",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "105786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "426403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "124884",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DMP Enterprises, Inc.
• Douglas H. Rediger DDS, PC
• East Missouri Pharmacy Services, LLC (Twin City Pharmacy)
• Rachel Brown Edwards, MD
• Kaitlyn Rae Ellis, PHARMD
• Excel Care OB GYN Inc
• Family and Community Therapy Services, LLC
• Family Vision Associates, LLC
• Dale Allen French, LPC
• Charmin L Gans, D.C.

• Emergency Medicine Physician in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.