Organization Active NPI

Robert a. Evans

Doing business as Middlefield Primary Care

  • Family Medicine Physician
  • Middlefield, OH
National Provider Identifier
1982816708
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34001271E Issued in OH
Legal business name
ROBERT A. EVANS
Doing business as
Middlefield Primary Care
Practice address
16030 E High St
Middlefield, OH 44062-9474
Phone
(440) 632-0770
Fax
(440) 632-0321
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Robert A. Evans, D.O.
Title
President
Phone
(440) 632-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34001271E OH Primary

Addresses

Primary practice location

16030 E High St
Middlefield, OH 44062-9474

Mailing address

16030 E High St
PO Box 1027
Middlefield, OH 44062-9474
Phone (440) 632-0770

Other identifiers 1

IdentifierTypeStateIssuer
0226384MedicaidOH

Other names 1

  • Middlefield Primary Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1982816708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 E HIGH ST",
            "address_2": "PO BOX 1027",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629474",
            "telephone_number": "440-632-0770",
            "fax_number": "440-632-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 E HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629474",
            "telephone_number": "440-632-0770",
            "fax_number": "440-632-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-632-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34001271E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226384",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlefield Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.