Dr Jason Evans PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2835 Issued in FL

Legal business name

DR JASON EVANS PA

Practice address

2800 E Commercial Blvd Ste 207
Ft Lauderdale, FL 33308-4228

Phone

(954) 776-5700

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jason Evans, DPMNPI 1093704306

Title

President

Phone

(954) 776-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jason Anthony Evans, DPM

  • Podiatrist
  • Fort Lauderdale, FL
  • NPI 1093704306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1407294440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 207",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084228",
            "telephone_number": "954-776-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 207",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084228",
            "telephone_number": "954-776-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JASON EVANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.