Wendy Evans, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102203801 Issued in VA

Practice address

10150 Staples Mill Rd
Suite C
Glen Allen, VA 23060-3452

Phone

(804) 755-7581

Fax

(804) 755-7586

NPI assigned

May 13, 2011

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wevans1150992@direct.bsmhealth.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.

• Bon Secours Memorial Regional Medical Center LLC

  dba CrossRidge Pediatrics & Internal Medicine

  • Specialist
  • Glen Allen, VA
  • NPI 1881795557

  Pediatrics

  Medicare reassignment NPD
• Bon Secours - Memorial Regional Medical Center, Inc.

  dba The Bon Secours Program for Diabetes Health - Memorial Regional Medica

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1003451410
  NPD
• Bon Secours Memorial Regional Medical Center

  dba Richmond Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1225263940
  NPD (past)
• Bon Secours Memorial Regional Medical Center Inc

  dba Hanover County and Bon Secours Good Health Clinic

  • Family Medicine Physician
  • Mechanicsville, VA
  • NPI 1679957948
  NPD (past)
• Bon Secours Memorial Regional Medical Center LLC

  dba Bon Secours Memorial Regional Pro Fee Sevices

  • General Acute Care Hospital
  • Mechanicsville, VA
  • NPI 1023028651
  NPD (past)

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1093007650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 STAPLES MILL RD",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603452",
            "telephone_number": "804-755-7581",
            "fax_number": "804-755-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 STAPLES MILL RD",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603452",
            "telephone_number": "804-755-7581",
            "fax_number": "804-755-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "WENDY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT014122",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102203801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleina Espigh, CCT
• Bryan Crowell Estes
• Sara Etheredge, DPT
• Eucalyptus Health, PLLC
• Jessica La'Chelle Evans, LPC
• Evernorth Direct Health LLC
• Evolve Counseling, LLC
• Evvagreen Transportation LLC
• Express Med Urgent Care Center, Inc
• Exxpress Transportation

• Pediatrics Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.