Active NPI
Catherine Joann Evans, M.D.
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1710039276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17097
- Practice address
- 1079 National Rd
Wheeling, WV 26003-5701 - Phone
- (304) 243-6390
- Fax
- (304) 243-7044
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17097 | WV | Primary |
Addresses
Primary practice location
1079 National Rd
Wheeling, WV 26003-5701
Mailing address
1079 National Rd
Wheeling, WV 26003-5701
Phone (304) 243-6390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0903179 | Medicaid | OH | |
| 0053460000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
Locations
1945 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 302-5246
Interoperability endpoints
- catherineevans@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710039276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 NATIONAL RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035701",
"telephone_number": "304-243-6390",
"fax_number": "304-243-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 NATIONAL RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035701",
"telephone_number": "304-243-6390",
"fax_number": "304-243-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CATHERINE",
"middle_name": "JOANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "17097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0903179",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0053460000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.