Evin Henderson Sides III, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

14767 Issued in NC

Practice address

200 Perimeter Park Dr
Morrisville, NC 27560-9714

Phone

(919) 481-5742

Fax

(919) 481-5707

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rex Hospital, Inc.

  • Nutrition Education Nutritionist
  • Raleigh, NC
  • NPI 1821472572
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972672194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 BRASSFIELD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149450",
            "telephone_number": "919-847-9592",
            "fax_number": "919-481-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERIMETER PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609714",
            "telephone_number": "919-481-5742",
            "fax_number": "919-481-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "EVIN",
        "middle_name": "HENDERSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "14767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karol Lili Serafin Molina
• Sandhya Sharma, MD
• Poonam Sheth, PHARMD, PHD
• Shya Transportation LLC
• Umber Siddiqui, DDS
• Nancy Sinko, MPH, RDN, LDN, IBCLC
• Lauren Sireci, DDS
• Dalton Smallwood, DC
• Smith and Tart D.D.S., II, P.a.
• Angela Smith, BIRTH DOULA

• Infectious Disease Physician in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.