Dean Ernest Evans, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

11924 Forest Hill Blvd # 10a-243
Wellington, FL 33414-6256

Phone

(561) 693-5143

Fax

(561) 245-9150

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1144281353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N FLAGLER DR",
            "address_2": "#2303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072755",
            "telephone_number": "561-842-0156",
            "fax_number": "561-842-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 FOREST HILL BLVD # 10A-243",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "561-693-5143",
            "fax_number": "561-245-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DEAN",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9109897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Livertha Estefont, RN, BSN
• Alyssa Liana Estornell, M.S.,CCC/SLP
• Natacha Etienne, APRN
• Alison Marie Evans, M.S., CCC-SLP
• Andrew Evans, D.O.
• Jay A Evans, PTA
• Evergreene Center Inc
• Evernorth Direct Health LLC
• Stael Exantus, RMHCI- CRC
• Eye & Ear of Wellington LLC

• Medical Physician Assistant in Wellington, FL
• Providers in Wellington, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.