Individual provider Active NPI

Evan Donald Corning, MD

  • Orthopaedic Surgery Physician
  • El Paso, TX
National Provider Identifier
1720467707
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
T0189 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 215-5400
Fax
(915) 215-8632
NPI assigned
May 24, 2015
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 19891 NV
Orthopaedic Surgery Physician 207X00000X A168443 CA
Orthopaedic Surgery Physician 207X00000X 31487 OK
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A168443 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 19891 NV
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X T0189 TX
Orthopaedic Surgery Physician 207X00000X T0189 TX Primary

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480

Other practice location 1

711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023
Phone (405) 271-4906

Other practice location 2

2170B South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200728000351 NV Practitioner - Orthopedic Surgery 2466753587 Reassigns benefits to 1 organization
I20200728001100 CA Practitioner - Orthopedic Surgery 2466753587 Reassigns benefits to 1 organization
I20210728000262 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2466753587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168443CAMDOrthopaedic Surgery Physician
31487OKMDOrthopaedic Surgery Physician
T0189TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Orthopaedic Surgery CurrentSince Sep 7, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 7, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Aug 1, 2020 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Ou Health Partners, Inc Past Accepting new patients

Locations

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

212 Elks Point Rd
Unit 201
Zephyr Cove, NV 89448
Phone (775) 588-9188

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1720467707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5400",
            "fax_number": "915-215-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Stanton L Young Blvd",
            "address_2": "PPB-111",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045023",
            "country_code": "US",
            "telephone_number": "405-271-4906",
            "fax_number": "405-271-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2170B South Ave",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507026",
            "country_code": "US",
            "telephone_number": "530-543-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNING",
        "first_name": "EVAN",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-24",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "19891",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A168443",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "31487",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A168443",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": "19891",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "T0189",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T0189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.