Active NPI
Jason Anthony Evans, DPM
- Podiatrist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2835
- Practice address
- 2800 E Commercial Blvd
Suite 207
Fort Lauderdale, FL 33308-4229 - Phone
- (954) 776-5700
- Fax
- (954) 776-5701
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2835 | FL | Primary |
Addresses
Primary practice location
2800 E Commercial Blvd
Suite 207
Fort Lauderdale, FL 33308-4229
Mailing address
2800 E Commercial Blvd
Suite 207
Fort Lauderdale, FL 33308-4229
Phone (954) 776-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340316500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2800 E Commercial Blvd
Suite 207
Fort Lauderdale, FL 33308-4228
Phone (954) 776-5700
51 W Sample Rd
Pompano Beach, FL 33064-3542
Phone (954) 776-5700
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of nail tissue | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2835 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jason Evans PA | Podiatrist | Current | Accepting new patients |
| Mark E Pomper MD PA | Past | Accepting new patients | |
| Phillip D.Decubellis PA | Past | Accepting new patients |
Locations
51 W Sample Rd
Deerfield Beach, FL 33064
Phone (954) 942-0941
2828 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 351-0009
2800 E Commercial Blvd
Ste 207
Ft Lauderdale, FL 33308
Phone (954) 536-3992
4750 N Federal Hwy
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 449-6002
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Podiatrist
- Ft Lauderdale, FL
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- Radiation Oncology Physician
- Homestead, FL
- NPI 1184696858
-
- Foot & Ankle Surgery Podiatrist
- Fort Lauderdale, FL
- NPI 1730239575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1093704306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E COMMERCIAL BLVD",
"address_2": "SUITE 207",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084229",
"telephone_number": "954-776-5700",
"fax_number": "954-776-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E COMMERCIAL BLVD",
"address_2": "SUITE 207",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084229",
"telephone_number": "954-776-5700",
"fax_number": "954-776-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JASON",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340316500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.