Stephen J Evans, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

177137 Issued in NY

Practice address

50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345

Phone

(716) 849-8750

Fax

(716) 849-8757

NPI assigned

Aug 24, 2005

Last updated

Nov 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Roscoe Regional Healthcare LLC

  dba roscoe regional rehabilitation and nursing center

  • Skilled Nursing Facility
  • Roscoe, NY
  • NPI 1952883423

  Contracted Managing Employee

  CMS ownership

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.

• Family Choice of New York Medical PC

  • General Practice Physician
  • Depew, NY
  • NPI 1720312754
  Medicare reassignment NPD Authorized official
• Clinton Square Operations LLC

  dba bishop rehabilitation and nursing ceter

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1295242683
  Medicare reassignment NPD
• Stephen James Evans

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1851818959
  NPD (past) Authorized official
• Elder Medical Services PC

  • Geriatric Medicine (Family Medicine) Physician
  • Cheektowaga, NY
  • NPI 1740388719
  NPD (past)
• Exigence Hospitalist Medical Services of Erie County, PLLC

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1366636730
  NPD (past)
• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Gerontology Nurse Practitioner
  • Williamsville, NY
  • NPI 1740219633
  NPD (past)
• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Family Nurse Practitioner
  • Williamsville, NY
  • NPI 1851317903
  NPD (past)
• Roscoe Regional Healthcare LLC

  dba roscoe regional rehabilitation and nursing center

  • Skilled Nursing Facility
  • Roscoe, NY
  • NPI 1952883423
  NPD (past)
• Susquehanna Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Johnson City, NY
  • NPI 1285615682
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1730172776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01173293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janette Evans
• Katherine Blakeslee Evans, SLP, CCC/L
• Laura Sylyea Evans
• Linda Evans, LPN
• Mary Lorraine Evans, P.T.
• Tashia Y. Evans, LPN
• Vincent Evans, PA
• Melissa Michelle Everett, PA-C
• Julie Everhart, RNFA
• Every Bottom Covered, Inc.

• Family Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.