Active NPI
Joshua Timothy Evans, M.D.
- Gastroenterology Physician
- Omaha, NE
National Provider Identifier
1861579450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 26187
- Practice address
- 8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4029 - Phone
- (402) 397-7057
- NPI assigned
- Nov 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL27138 | SC | |
| Gastroenterology Physician | 207RG0100X | 26187 | NE | Primary |
Addresses
Primary practice location
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4029
Mailing address
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4029
Phone (402) 397-7057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077295213 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL27138 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennie Edmundson Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1942251269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1861579450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 INDIAN HILLS DR",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144029",
"telephone_number": "402-397-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 INDIAN HILLS DR",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144029",
"telephone_number": "402-397-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JOSHUA",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL27138",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NE",
"license": "26187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077295213",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.