Jason Evans, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 2835 Issued in FL

Legal business name

JASON EVANS, PA

Practice address

4750 N Federal Hwy
Suite 202
Ft Lauderdale, FL 33308-4609

Phone

(954) 776-0200

Fax

(954) 776-8475

NPI assigned

Jan 30, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Anthony Evans, D.P.M.

Title

President

Phone

(954) 776-0200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1871639104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY",
            "address_2": "SUITE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-776-0200",
            "fax_number": "954-776-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY",
            "address_2": "SUITE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-776-0200",
            "fax_number": "954-776-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON EVANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "AA746",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.