Elizabeth Eversull, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

L5328 Issued in TX

Practice address

5944 W Parker Rd
#400
Plano, TX 75093-6421

Phone

(972) 309-2021

Fax

(972) 309-2023

NPI assigned

Mar 22, 2006

Last updated

Oct 23, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elizabeth Eversull MD

  • Pain Clinic/Center
  • Plano, TX
  • NPI 1093994865
  NPD (past) Authorized official
• East Rehabilitation PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Addison, TX
  • NPI 1558322859
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1154380517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714090097",
            "telephone_number": "972-309-2021",
            "fax_number": "972-309-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD",
            "address_2": "#400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936421",
            "telephone_number": "972-309-2021",
            "fax_number": "972-309-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSULL",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L5328",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L5328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176702201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Evans, M.D.
• Patty Evans, LPC
• J Richard Lee Evanson, DO
• Evergreen Home Health Services LLC
• Everhealth Acupuncture & Herbs Wellness. LLC.
• Evervita Physician Services PLLC
• Eviracare Health Solution LLC
• Evo PT Group LLC
• Evolve Dermatology PLLC
• Ewa K. Niewiarowski MD PLLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Plano, TX
• Providers in Plano, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.