Evergreen Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EVERGREEN MEDICAL INC

Practice address

9256 Wyattwood Rd
Mechanicsville, VA 23116-3974

Phone

(804) 787-4700

Fax

(804) 643-0584

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Anna Smith

Title

Distributor Principal

Phone

(804) 787-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1588848873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 WYATTWOOD RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163974",
            "telephone_number": "804-787-4700",
            "fax_number": "804-643-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 WYATTWOOD RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163974",
            "telephone_number": "804-787-4700",
            "fax_number": "804-643-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DISTRIBUTOR PRINCIPAL",
        "authorized_official_telephone_number": "804-787-4700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther W Bucher
• Christine Dodd Evanko, BCBA, LBA
• Jay Mark Evans, M.D.
• Judith Evans, CPNP
• Ky'Asia Evans
• Evergreen Psychiatric and Mental Health Services LLC
• Ruth Evjen, OT
• Evolve Concierge Group PLLC
• Laetitia Eya, NP
• Eye Doctors of Richmond, PLLC

• Durable Medical Equipment & Medical Supplies in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.