Mary P Evans MD PLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

0101233405 Issued in VA

Legal business name

MARY P EVANS MD PLC

Doing business as

Blue Ridge Long Term Care Associates, PLC

Practice address

210 Elm Ave
Louisa, VA 23093-6578

Phone

(434) 242-7077

NPI assigned

Mar 14, 2006

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Palmquist Evans, M.D.NPI 1346219029

Title

President

Phone

(434) 242-7077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Ridge Long Term Care Associates, PLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Palmquist Evans, M.D.

  • General Practice Physician
  • Louisa, VA
  • NPI 1346219029
  Medicare reassignment NPD Authorized official
• Jonathan M. Evans, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Charlottesville, VA
  • NPI 1184793705
  Medicare reassignment NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1487622528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6126",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229016126",
            "telephone_number": "434-242-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ELM AVE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936578",
            "telephone_number": "434-242-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY P EVANS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PALMQUIST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-242-7077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101233405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010155827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Long Term Care Associates, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Louisa Family Practice, PLC
• Louisa Physical Therapy Inc
• Louisa Psychological Consulting PC
• Haley Elizabeth Massaro, PTA
• Sabrina Mawyer, PHARMD
• Jordan McCray
• Medi-Ride L.L.C. (Medi-Ride)
• Medical Facilities of America Xxiv & XXXV (Louisa Health & Rehabilitation Center)

• Geriatric Medicine (Family Medicine) Physician in Louisa, VA
• Providers in Louisa, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.