NPIMap

Organization Active NPI

Richard a. Evans, M.D., P.a.

  • Surgery Physician
  • Dover Foxcroft, ME
National Provider Identifier
1578606802
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
013561 Issued in ME
Legal business name
RICHARD A. EVANS, M.D., P.A.
Practice address
14 Winter St
Dover Foxcroft, ME 04426-1023
Phone
(207) 564-0715
Fax
(207) 564-0717
NPI assigned
Feb 15, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Richard A. Evans, M.D.NPI 1114060423
Title
President
Phone
(207) 564-0715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 013561 ME Primary

Addresses

Primary practice location

14 Winter St
Dover Foxcroft, ME 04426-1023

Mailing address

14 Winter St
Dover Foxcroft, ME 04426-1023
Phone (207) 564-0715

Other identifiers 5

IdentifierTypeStateIssuer
180290000MedicaidME
060452OtherMEANTHEM
P00018335OtherMERAILROAD MEDICARE
5504468OtherMEAETNA - NON-HMO
3128758OtherMEAETNA - HMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1578606802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WINTER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261023",
            "telephone_number": "207-564-0715",
            "fax_number": "207-564-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WINTER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261023",
            "telephone_number": "207-564-0715",
            "fax_number": "207-564-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. EVANS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-564-0715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "013561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180290000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060452",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00018335",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - NON-HMO",
            "identifier": "5504468",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "3128758",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.