Individual provider Active NPI

Evan Daniel McCann, PA-C

  • Physician Assistant
  • Saginaw, MI
National Provider Identifier
1841773371
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008817 Issued in MI
Practice address
5400 Mackinaw Rd Ste 2300
Saginaw, MI 48604-8211
Phone
(989) 753-4000
NPI assigned
Sep 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008817 MI Primary

Addresses

Primary practice location

5400 Mackinaw Rd Ste 2300
Saginaw, MI 48604-8211

Mailing address

5400 Mackinaw Rd Ste 2300
Saginaw, MI 48604-8211
Phone (989) 753-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003424 MI Practitioner - Physician Assistant 0941552418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Spine and Brain Institute, PCGroup PAC ID 4385772417, 3 clinicians
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Practice addresses (Care Compare)

170 N Caseville Rd
Pigeion, MI 48755-9704
Phone (989) 753-4000

193 E Jefferson St
Frankenmuth, MI 48734-1935

200 Hemlock St
Tawas City, MI 48763-9237
Phone (989) 753-4000

4005 Orchard Dr
Midland, MI 48670-0001
Phone 98975340001116

5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-8211
Phone (989) 753-4000

565 Progress St
West Branch, MI 48661-8601
Phone (989) 753-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Spine and Brain Institute PC CurrentSince Sep 24, 2018 Accepting new patients

Locations

5400 Mackinaw Rd
Ste 2300
Saginaw, MI 48604
Phone (989) 753-4000

Interoperability endpoints

  • Direct secure messaging: emccann67152@direct.covenanthealthcare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1841773371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD STE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048211",
            "telephone_number": "989-753-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD STE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048211",
            "telephone_number": "989-753-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "EVAN",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.