Eugene Evra, MD LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

2008009812 Issued in MO

Legal business name

EUGENE EVRA, MD LLC

Practice address

156 N Bemiston Ave
Clayton, MO 63105-3811

Phone

(314) 484-0782

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Eugene Evra, MDNPI 1336367226

Title

Manager

Phone

(314) 484-0782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Evra, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Maryland Heights, MO
  • NPI 1336367226
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1356770143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 N BEMISTON AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N BEMISTON AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053811",
            "telephone_number": "314-484-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE EVRA, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "EVRA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-484-0782",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MO",
            "license": "2008009812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Hospital in Clayton, MO
• Providers in Clayton, MO by specialty
• Rehabilitation Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.

Verify at the official NPI Registry.