Mitchell D Evans, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H2365 Issued in TX

Practice address

116 N Saddle Ridge Dr
Cedar Park, TX 78613-7718

Phone

(512) 789-4466

Fax

(512) 329-6898

NPI assigned

Nov 10, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1760463129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N SADDLE RIDGE DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137718",
            "telephone_number": "512-789-4466",
            "fax_number": "512-329-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N SADDLE RIDGE DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137718",
            "telephone_number": "512-789-4466",
            "fax_number": "512-329-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117304902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "81G292",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eswct Cedar Park, LLC
• Christopher Eugenio, OD
• David Nathan Evans
• Jayme Balderson Evans, JAYME EVANS
• Lacey Lee Evans
• Thembi-Ann Evans, DDS
• Ty Heath Evans, LPC
• Everwell Health & Wellness
• Evolve Physical Therapy and Sports Center Inc
• Patricia Bohn Ewert, MD

• Anesthesiology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.

Verify at the official NPI Registry.