Active NPI
Eric R Evans, MD
- Family Medicine Physician
- Iowa City, IA
National Provider Identifier
1730175571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26811
- Practice address
- 4189 Westlawn S
Iowa City, IA 52242-1100 - Phone
- (319) 353-5959
- Fax
- (319) 335-7247
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26811 | IA | Primary |
Addresses
Primary practice location
4189 Westlawn S
Iowa City, IA 52242-1100
Mailing address
4189 Westlawn S
Iowa City, IA 52242-1100
Phone (319) 353-5959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45368 | Other | IA | WELLMARK BCBS |
| 2042697 | Medicaid | IA | |
| 46837 | Other | MEDICARE PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1730175571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4189 WESTLAWN S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421100",
"telephone_number": "319-353-5959",
"fax_number": "319-335-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4189 WESTLAWN S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421100",
"telephone_number": "319-353-5959",
"fax_number": "319-335-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ERIC",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "26811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "45368",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2042697",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "46837",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.