Gregory T Evangelista MD LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GREGORY T EVANGELISTA MD LLC

Practice address

3271 N Civic Center PLZ Ste 110
Scottsdale, AZ 85251-6990

Phone

(480) 656-0291

Fax

(480) 656-0127

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Gregory T Evangelista, M.D.NPI 1164491031

Title

Physician Owner

Phone

(480) 254-8482

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Thomas Evangelista, M.D.

  • Orthopaedic Trauma Physician
  • Scottsdale, AZ
  • NPI 1164491031

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Delaney Durham, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1073212114
  Medicare reassignment Care Compare group NPD
• Perry Jaymes Evangelista, M.D.

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1649614108
  Medicare reassignment Care Compare group NPD
• Cheyenne Tobler, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1164092599
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1760892483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5495",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615495",
            "telephone_number": "480-656-0291",
            "fax_number": "480-656-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 N CIVIC CENTER PLZ STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516990",
            "telephone_number": "480-656-0291",
            "fax_number": "480-656-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T EVANGELISTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-254-8482",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse D Greer, M.D.
• Julianna Paige Greer, ND
• Jessica Wind Gregor, MS, CCC-SLP, BCS-S
• Gregory M Crever, MD, PC
• Gregory S Anderson, PT, PLLC
• Polina Gregory, SLPA
• Traci Gregory, THAD9292
• Zona Kay Gregory, MA MS LPC
• Lynnsey Dawn Greiwe, PHARMD
• Steven J Greschner

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.