Organization Active NPI

Evolution Spine and Orthopedics, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • McAllen, TX
National Provider Identifier
1578039079
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
EVOLUTION SPINE AND ORTHOPEDICS, PLLC
Practice address
109 E Toronto Ave Ste 100
McAllen, TX 78503-1224
Phone
(956) 997-4300
Fax
(956) 997-4301
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Noah Godwin, MD
Title
Provider
Phone
(281) 216-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

109 E Toronto Ave Ste 100
McAllen, TX 78503-1224

Mailing address

109 E Toronto Ave Ste 100
McAllen, TX 78503-1224
Phone (956) 997-4300

Other practice location 1

4237 North Expressway 77 #4
Brownsville, TX 78520
Phone (956) 997-4300

Other identifiers 1

IdentifierTypeStateIssuer
207LP2900XOtherTXTAXONOMY

National Provider Directory

National Provider Directory

Locations

4237 N Expressway
#77
Brownsville, TX 78520
Phone (956) 997-4300

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1578039079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E TORONTO AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031224",
            "telephone_number": "956-997-4300",
            "fax_number": "956-997-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E TORONTO AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031224",
            "telephone_number": "956-997-4300",
            "fax_number": "956-997-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4237 NORTH EXPRESSWAY 77 #4",
            "address_purpose": "LOCATION",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "country_code": "US",
            "telephone_number": "956-997-4300",
            "fax_number": "956-997-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLUTION SPINE AND ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "281-216-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207LP2900X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.