Active NPI
Michael Caid Evans, PA-C
- Physician Assistant
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9159630-1206
- Practice address
- 2950 N Church St Ste 200
Layton, UT 84040-6590 - Phone
- (801) 771-7700
- Fax
- (801) 771-7799
- NPI assigned
- Oct 1, 2014
- Last updated
- Dec 15, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9159630-1206 | UT | Primary |
Addresses
Primary practice location
2950 N Church St Ste 200
Layton, UT 84040-6590
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other names 1
- M Caid Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Arizona College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 E 3100
Layton, UT 84040-2406
Phone (801) 773-4840
2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840
425 S 100
Layton, UT 84041-5356
Phone (801) 773-4840
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9159630-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Tanner Memorial Clinic | Past | Accepting new patients | |
| Rosenberg Cooley Metcalf LC | Past | Accepting new patients |
Locations
1756 W Antelope Dr
Layton, UT 84041
Phone (801) 525-8726
425 S 100 W
Layton, UT 84041
Phone (801) 525-8726
3443 W 5600 S
Roy, UT 84067
Phone (801) 825-6400
Interoperability endpoints
- caid.evans.p1@direct.tannerclinic.nextgenshare.com
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.
-
- Internal Medicine Physician
- Layton, UT
- NPI 1447239355
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
dba Tanner Clinic Layton South
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
-
- Gastroenterology Physician
- Ogden, UT
- NPI 1609406511
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
dba The Orthopedic Partners
- Orthopaedic Surgery Physician
- Park City, UT
- NPI 1649374216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Davis
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1790188910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500",
"fax_number": "801-475-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N CHURCH ST STE 200",
"city": "LAYTON",
"state": "UT",
"postal_code": "840406590",
"telephone_number": "801-771-7700",
"fax_number": "801-771-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MICHAEL",
"middle_name": "CAID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "9159630-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M CAID",
"last_name": "EVANS",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.