Active NPI
Virginia Ann Evans, M.D.
- Emergency Medicine Physician
- Lakewood, OH
National Provider Identifier
1992746598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35041617E
- Practice address
- 14519 Detroit Ave
Lakewood, OH 44107-4316 - Phone
- (216) 521-4200
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35041617E | OH | Primary |
Addresses
Primary practice location
14519 Detroit Ave
Lakewood, OH 44107-4316
Mailing address
16500 Kenneth LN
Lakewood, OH 44107-1132
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930022100 | Other | OH | MEDICARE TRAVELERS RR-GA |
| 0404744 | Medicaid | OH | |
| 942460636259 | Other | OH | CARESOURCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1992746598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 KENNETH LN",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441071132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14519 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074316",
"telephone_number": "216-521-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "VIRGINIA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35041617E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS RR-GA",
"identifier": "930022100",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0404744",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636259",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.