Active NPI
Frank J Evans, D.O. PC
- Family Medicine Physician
- Stillwater, OK
National Provider Identifier
1174678809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3259
- Legal business name
- FRANK J EVANS, D.O. PC
- Practice address
- 1921 W 6TH Ave Ste a
Stillwater, OK 74074-4204 - Phone
- (405) 533-2433
- Fax
- (833) 623-1821
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank J Evans, D.O.
- Title
- Physician
- Phone
- (405) 533-2433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3259 | OK | Primary |
Addresses
Primary practice location
1921 W 6TH Ave Ste a
Stillwater, OK 74074-4204
Mailing address
1921 W 6TH Ave Ste a
Stillwater, OK 74074-4204
Phone (405) 533-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136900B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1639158355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1174678809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W 6TH AVE STE A",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744204",
"telephone_number": "405-533-2433",
"fax_number": "405-533-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W 6TH AVE STE A",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744204",
"telephone_number": "405-533-2433",
"fax_number": "833-623-1821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK J EVANS, D.O. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "405-533-2433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "3259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136900B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.