Dr. Jason Thomas Evans
Neurology Independent Medical Examiner
732 S Washington Ave
Madison
, South Dakota 57042-3519
Dr. Jason Thomas Evans
Neurology Independent Medical Examiner
732 S Washington Ave
Madison
, South Dakota 57042-3519
(605) 256-0760
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About
Features
Specialties
- Independent Medical Examiner
- Neurology
Languages spoken
- English
Location
First Address
- Dr. Jason Thomas Evans
- Po Box 365
- Madison, SD
- Zip : 57042-0365
- Fax : (605) 256-0760
- Phone : (605) 256-0336
Second Address
- Dr. Jason Thomas Evans
- 732 S Washington Ave
- Madison, SD
- Zip : 57042-3519
- Fax : (605) 256-0760
- Phone : (605) 256-0336
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NI0013X | Independent Medical Examiner | SD868 | SD |
| Y | 111NN0400X | Neurology | 868 | SD |
National Provider Identifier
| NPI | 1982691911 |
|---|---|
| Provider Name | Dr. Jason Thomas Evans |
| First Address | Madison, SD 57042-0365 |
| Second Address | Madison, SD 57042-3519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 05/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1619173523 | GROUP NPI (01) | SD |
| 1982691911 | INDIVIDUAL NPI (01) | SD |
| 350055130 | GROUP PTAN (01) | SD |
| 7604360 | (05) | SD |
| DQ2901 | GROUP PTAN (01) | SD |
| U59159 | (02) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.