Joseph E Evans, MD
Individual provider Active NPI Pediatrics Physician · Huntington, WV
NPI 1831153071 · NPPES record last updated Dec 2, 2021
Key facts
- NPI
- 1831153071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 14625 (WV)
- Practice address
- 1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656 - Phone
- (304) 691-1300
- Fax
- (304) 691-1375
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physicians and Surgeons, Inc
Practice addresses (Care Compare)
1600 Medical Ctr Dr
Huntington, WV 25701-3655
1600 Medical Ctr Dr
Huntington, WV 25701-3656
Phone (304) 691-8850
1690 Medical Ctr Dr
Huntington, WV 25701-3656
Phone (304) 526-2532
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100405000357 | WV | Practitioner - Pediatric Medicine | 3476689142 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Current |
Accepting new patients | |
| University Physicians & Surgeons, Inc | Pediatrics | Current |
Accepting new patients |
Locations
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14625 | WV | Yes |
Addresses
Primary practice location
1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656
Mailing address
1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656
Phone (304) 691-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64698459 | Medicaid | KY | |
| 0689376 | Medicaid | OH | |
| 0105077000 | Medicaid | WV |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph.evans@marshall.cernerdirect.com |
Other providers in Huntington, WV
- Christina Evans
- Chuck Daniel Evans I
- Demonte Jerod Evans
- Elizabeth G Evans
- Jane Ellen Evans
- Kaden Evans
- Laterica Dawn Evans
- Megan C Evans
- Michelle Lynn Evans
- Monica Marie Evans
All providers in Huntington, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.