E Y Evans MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

E Y EVANS MD LLC

Practice address

701 Cottage Grove Rd
Building C Suite 130
Bloomfield, CT 06002-0323

Phone

(860) 243-3352

Fax

(860) 243-3329

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Yvonne Evans, M.D.

Title

Owner

Phone

(860) 243-3352

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rochelle L Collins, DO

  • Family Medicine Physician
  • Bloomfield, CT
  • NPI 1205847241
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1386794147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060020323",
            "telephone_number": "860-243-3352",
            "fax_number": "860-243-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "BUILDING C SUITE 130",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060020323",
            "telephone_number": "860-243-3352",
            "fax_number": "860-243-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E Y EVANS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-243-3352",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.