Edward Theodore Evans, MD - Radiology in Santa Rosa, CA

Edward Theodore Evans, MD is a Radiology - Diagnostic Ultrasound physician based in Santa Rosa, California. Edward Theodore Evans is licensed to practice in California (license number A22103) and his current practice location is 121 Sotoyome St, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 546-4062.

NPI number for Edward Theodore Evans is 1144319039 and his current mailing address is 121 Sotoyome St, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144319039.

Contact Information

Edward Theodore Evans, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823
(707) 546-4062
(707) 578-6258

Map and Direction




Physician's Profile

Full NameEdward Theodore Evans
GenderMale
SpecialityRadiology - Diagnostic Ultrasound
Location121 Sotoyome St, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144319039
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Edward Theodore Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144319039NPI-NPPES
00A221030MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging A22103 (California)Primary
2085N0904XRadiology - Nuclear Radiology A22103 (California)Primary
2085R0202XRadiology - Diagnostic Radiology A22103 (California)Primary
2085U0001XRadiology - Diagnostic Ultrasound A22103 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Theodore Evans is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Theodore Evans, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 546-4062
Edward Theodore Evans, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 546-4062

Reviews and Comments


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Phone: 707-546-4062    Fax: 707-578-6258
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