Christopher Shaun Evans, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

OT017959 Issued in PA

Practice address

120 Locust Ave Ext
Mount Morris, PA 15349-1355

Phone

(724) 324-9001

Fax

(724) 324-9005

NPI assigned

Jun 9, 2017

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083143283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT017959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thomas Matthew Colebank, DO
• Cornerstone Care Inc. (Cornerstone Care Community Health Center of Mount Morris-Dental)
• Cornerstone Care Inc. (Cornerstone Care Community Health Center of Mount Morris-Medical)
• Cornerstone Care, Inc. (Cornerstone Care Community Pharmacy 001)
• Cornerstone Care/Mobile Unit
• Gerald Camden Furby III, DO
• Derek J Golna, D.O.
• Ashima Gupta
• Torrie Kay Headley, LPC
• Matthew Austin Heselton, MD

• Student in an Organized Health Care Education/Training Program in Mount Morris, PA
• Providers in Mount Morris, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.