| Douglas Eugene Evans, DO | |
|
711 N 36th St, Saint Joseph, MO 64506-2977 | |
| (816) 271-4022 | |
| (816) 271-4020 |
| Full Name | Douglas Eugene Evans |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 711 N 36th St, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871591768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 110143 (Missouri) | Primary |
| Entity Name | Heartland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Eugene Evans, DO 711 N 36th St, Saint Joseph, MO 64506-2977 Ph: (816) 271-4022 | Douglas Eugene Evans, DO 711 N 36th St, Saint Joseph, MO 64506-2977 Ph: (816) 271-4022 |
Nikola Karlo Bartulica, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Far West Dr Ste 100, Saint Joseph, MO 64506 Phone: 816-271-8115 Fax: 816-271-8104 | |
Jamie Noelle Ball, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-1355 | |
Dr. Carmen Marie Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Far West Dr, Heartland Pediatric And Adult Care Suite 100, Saint Joseph, MO 64506 Phone: 816-271-8110 Fax: 816-271-8104 | |
Dr. Karam Hadid, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-8810 | |
Timothy P Murphy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
Dr. Marcellus Ryan Luwia, Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-8810 | |
Andrew Donaldson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 |