Evon Zoog

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

960 E 3Rd St
Suite 104
Chattanooga, TN 37403-2104

Phone

(423) 778-7695

NPI assigned

Apr 15, 2014

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Graper Cosmetic Surgery

  • Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1821398611
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1265851505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E 3RD ST",
            "address_2": "SUITE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032104",
            "telephone_number": "423-778-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOG",
        "first_name": "EVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Lee Zimmer, PT
• Ethan Zimmerman, M.D.
• Tammy Zinkann, RN
• Zoilus, Inc (Aegin Place Southeast)
• Jillian Marie Zollinger, DPT
• Bethany Joy Zufall
• Logan Zumbrun
• Jason George Zurawick, MD
• Margaret Zylstra, R.N.
• Robert G. Zylstra, LCSW

• Student in an Organized Health Care Education/Training Program in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.