Individual provider Active NPI

Aungel Latchley Evans, M.D.

  • Gynecology Physician
  • Plano, TX
National Provider Identifier
1952577397
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
P4045 Issued in TX
Practice address
1600 Coit Rd
Suite 402
Plano, TX 75075-6174
Phone
(972) 612-8829
Fax
(972) 612-2875
NPI assigned
May 6, 2008
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A112636 CA
Gynecology Physician 207VG0400X P4045 TX Primary

Addresses

Primary practice location

1600 Coit Rd
Suite 402
Plano, TX 75075-6174

Mailing address

1600 Coit Rd
Plano, TX 75075-6174
Phone (972) 612-8829

Other identifiers 1

IdentifierTypeStateIssuer
232245601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000708 TX Practitioner - Obstetrics/Gynecology 1658550041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112636CAMDObstetrics & Gynecology Physician
P4045TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Women's Healthcare LLP Obstetrics & Gynecology Current Accepting new patients

Locations

1600 Coit Rd
Ste 402
Plano, TX 75075
Phone (972) 519-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1952577397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-612-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "SUITE 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-612-8829",
            "fax_number": "972-612-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AUNGEL",
        "middle_name": "LATCHLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A112636",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "P4045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232245601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.