Organization Active NPI

Evans Surgical Associates PC

  • Surgical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1831115690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
EVANS SURGICAL ASSOCIATES PC
Practice address
1325 N Fiesta Blvd Ste 3
Gilbert, AZ 85233-1609
Phone
(480) 545-2610
Fax
(480) 545-2673
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert M Evans, PA-C
Title
Owner
Phone
(480) 545-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1325 N Fiesta Blvd Ste 3
Gilbert, AZ 85233-1609

Mailing address

PO Box 8131
Scottsdale, AZ 85252-8131
Phone (480) 545-2610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831115690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8131",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852528131",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N FIESTA BLVD STE 3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331609",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-545-2610",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.