EVANS PEDIATRIC CLINIC PC
NPI 1013952886
Pediatrics in Saint Joseph, MO

Active since June 17, 2006
3912 SHERMAN AVE, SAINT JOSEPH, MO 64506(816) 233-5959(816) 233-5960 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics

About EVANS PEDIATRIC CLINIC PC

This page provides the complete NPI Profile along with additional information for Evans Pediatric Clinic Pc, a pediatrician established in Saint Joseph, Missouri operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1013952886 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 110143 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Douglas Eugene Evans D.o. (Owner)

NPI
1013952886 Verify this NPI
Provider Name
EVANS PEDIATRIC CLINIC PC
Entity Type
Organization
Location Address
3912 SHERMAN AVE SAINT JOSEPH, MO 64506
Location Phone
(816) 233-5959
Location Fax
(816) 233-5960
Mailing Address
3912 SHERMAN AVE SAINT JOSEPH, MO 64506
Mailing Phone
(816) 233-5959
Mailing Fax
(816) 233-5960
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2006
Last Update Date
11-28-2011
Code Navigator

A pediatrician like Evans Pediatric Clinic Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
110143
License State
MO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DOUGLAS EUGENE EVANS D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(816) 351-6385

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E78875MEDICARE UPIN (02) 

Reviews for EVANS PEDIATRIC CLINIC PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013952886, enumerated as an "organization" on June 17, 2006.

The provider is located at 3912 SHERMAN AVE SAINT JOSEPH, MO 64506 and the phone number is (816) 233-5959.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.