Jason Charles Evans, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003819 Issued in MI

Practice address

1095 W Huron St
Waterford, MI 48328-3735

Phone

(248) 682-9611

Fax

(248) 682-6051

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1902825243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dean Epling Jr., MS, CAC-1, CSW
• Janetlynne Erickson, FNP-BC
• Esa M Ali MD PC
• Jill Ettema, LLMSW
• Annastasia Evans
• Priscilla Ann Everett, PMHNP-BC
• Family, Couples & Adolescence Counseling, LLC
• Jennifer Fanelli
• Allyssa Farley
• Fast Solution Inc

• Medical Physician Assistant in Waterford, MI
• Providers in Waterford, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.