Active NPI
Andrew Michael Evancho, M.D.
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22037
- Practice address
- 1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909-2647 - Phone
- (865) 558-9862
- Fax
- (865) 584-3478
- NPI assigned
- Jun 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22037 | TN | Primary |
Addresses
Primary practice location
1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909-2647
Mailing address
1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909-2647
Phone (865) 558-9862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3067058 | Medicaid | TN | |
| 3067059 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22037 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abercrombie Radiological Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Summit Medical Group, PLLC | Past | Accepting new patients | |
| Knoxville Radiological Group Associated | Diagnostic Radiology | Past | Accepting new patients |
| Tennessee Cancer Specialists PLLC | Past | Accepting new patients | |
| Tennessee Cancer Specialists PLLC | Past | Accepting new patients |
Locations
1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397
1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909
1112 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 588-1397
7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1942207154
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- NPI 1881753044
-
- Internal Medicine Physician
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- NPI 1659090298
-
- Hematology & Oncology Physician
- Morristown, TN
- NPI 1275681421
-
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1841228871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1922004597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 E WEISGARBER RD",
"address_2": "STE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092647",
"telephone_number": "865-558-9862",
"fax_number": "865-584-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 E WEISGARBER RD",
"address_2": "STE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092647",
"telephone_number": "865-558-9862",
"fax_number": "865-584-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANCHO",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "22037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067058",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067059",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.