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Contact Information

JONATHAN G EVANS, MD
100 FODEN RD STE 103
SOUTH PORTLAND, ME04106-2327
 Phone: 207-828-1122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN G EVANS · (Male)

NPI Number 1568460640
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD27860
  • TN License # 24656
  • TN License # MD0000024656
  • KY Medicaid 64014905
  • TN Medicaid 3076519
  • TN Other 621632725 TAX ID
  • TN Other 621701777 TAX ID
Hospital affiliation(s)
  • HENDERSONVILLE MEDICAL CENTER - (Acute Care)
    355 NEW SHACKLE ISLAND RD
    HENDERSONVILLE, TN 37075
  • NORTHCREST MEDICAL CENTER - (Acute Care)
    100 NORTHCREST DRIVE
    SPRINGFIELD, TN 37172
  • SKYLINE MEDICAL CENTER - (Acute Care)
    3441 DICKERSON PIKE
    NASHVILLE, TN 37207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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