Active NPI
James H Evans III, MD
- Internal Medicine Physician
- Peoria, AZ
National Provider Identifier
1669560389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28668
- Practice address
- 8466 W Peoria Ave
Suite 6
Peoria, AZ 85345-6548 - Phone
- (623) 845-0664
- Fax
- (623) 845-0667
- NPI assigned
- Oct 10, 2006
- Last updated
- Nov 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28668 | AZ | Primary |
Addresses
Primary practice location
8466 W Peoria Ave
Suite 6
Peoria, AZ 85345-6548
Mailing address
15029 N Thompson Peak Pkwy
Ste B111
Scottsdale, AZ 85260-2223
Phone (623) 845-0664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28668 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Integrated Medicine PC | Past | Accepting new patients | |
| Infinite Health & Wellness Centers PLLC | Past | Accepting new patients | |
| Comprehensive Hospitalist Services of Arizona, LLC | Hospitalist | Past | Accepting new patients |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Pinnacle Internal Medicine | Internal Medicine | Past | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona LLC | Hospitalist | Past | Accepting new patients |
| Banner Sun City Medical Group | Past | Accepting new patients | |
| Lasertech Pain Relief Centers LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIEICA
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1669560389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15029 N THOMPSON PEAK PKWY",
"address_2": "STE B111",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602223",
"telephone_number": "623-845-0664",
"fax_number": "623-845-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8466 W PEORIA AVE",
"address_2": "SUITE 6",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456548",
"telephone_number": "623-845-0664",
"fax_number": "623-845-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JAMES",
"middle_name": "H",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "28668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.