Active NPI
Evan Small, MD PHD
- Emergency Medicine Physician
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 61617542
- Practice address
- 34515 9TH Ave S
Federal Way, WA 98003-6761 - Phone
- (253) 838-9700
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56725 | MN | |
| Emergency Medicine Physician | 207P00000X | 62573 | WI | |
| Emergency Medicine Physician | 207P00000X | 61617542 | WA | Primary |
Addresses
Primary practice location
34515 9TH Ave S
Federal Way, WA 98003-6761
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Other practice location 1
200 1st St SW
Rochester, MN 55905-4783
Phone (507) 284-2511
Other practice location 2
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 627-4101
Other practice location 3
700 West Ave S
LA Crosse, WI 54601-4783
Phone (608) 785-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9700
4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780
4207 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 415-1080
450 S Kitsap Blvd
Suite 100
Port Orchard, WA 98366-3709
Phone (360) 895-7620
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56725 | MN | MD | Emergency Medicine Physician |
| 61617542 | WA | MD | Emergency Medicine Physician |
| 62573 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Organizations & group practices 13
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1316202476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34515 9TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036761",
"telephone_number": "253-838-9700"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559054783",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1717 S J St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054933",
"country_code": "US",
"telephone_number": "253-627-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014783",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "EVAN",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "56725",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "62573",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "61617542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.