EVANSTON REGIONAL PHYSICIANS LLC
NPI 1073167359
Emergency Medicine in Evanston, WY

NPI Status: Active since July 25, 2019

Contact Information

190 ARROWHEAD DR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-3636

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  • Organization
  • Emergency Medicine
  • CLIA Number: 53D0662202
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-10-2027

About EVANSTON REGIONAL PHYSICIANS LLC

This page provides the complete NPI Profile along with additional information for Evanston Regional Physicians Llc, a provider established in Evanston, Wyoming operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1073167359 assigned on July 2019. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Evanston Regional Physicians Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robert H. Parker Jr. (Ceo)

NPI
1073167359
Provider Name
EVANSTON REGIONAL PHYSICIANS LLC
Entity Type
Organization
Location Address
190 ARROWHEAD DR EVANSTON, WY 82930
Location Phone
(307) 789-3636
Mailing Address
PO BOX 734597 CHICAGO, IL 60673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2019
Last Update Date
10-09-2019
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ROBERT H. PARKER JR.

Authorized Official Title
CEO
Authorized Official Phone
(801) 463-7415

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D0662202
Facility Type
Hospital
Certificate Effective Date
August 11, 2025
Certificate Expiration Date
August 10, 2027
Laboratory Director
JARED SZYMANSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Evanston Regional Physicians Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073167359, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 2 + 6 + 1 + 4 + 3 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073167359.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Emergency Medicine
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine
190 ARROWHEAD DR, EVANSTON REGIONAL HOSPITAL
EVANSTON, WY 82930
Nurse Anesthetist, Certified Registered
190 ARROWHEAD DR
EVANSTON, WY 82930
Pharmacist
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine (Emergency Medical Services)
190 ARROWHEAD DR
EVANSTON, WY 82930
Internal Medicine (Interventional Cardiology)
190 ARROWHEAD DR
EVANSTON, WY 82930
Surgery
190 ARROWHEAD DR
EVANSTON, WY 82930
General Acute Care Hospital
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine (Emergency Medical Services)
190 ARROWHEAD DR
EVANSTON, WY 82930
Medicare Defined Swing Bed Unit
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine
190 ARROWHEAD DR
EVANSTON, WY 82930
Emergency Medicine
190 ARROWHEAD DR
EVANSTON, WY 82930
Nurse Anesthetist, Certified Registered
190 ARROWHEAD DR
EVANSTON, WY 82930
Registered Nurse (Emergency)
190 ARROWHEAD DR
EVANSTON, WY 82930
Registered Nurse (Obstetric, Inpatient)
190 ARROWHEAD DR
EVANSTON, WY 82930
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
190 ARROWHEAD DR
EVANSTON, WY 82930
Nurse Anesthetist, Certified Registered
190 ARROWHEAD DR
EVANSTON, WY 82930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073167359, enumerated as an "organization" on July 25, 2019.

The provider is located at 190 ARROWHEAD DR EVANSTON, WY 82930 and the phone number is (307) 789-3636.

Emergency Medicine with taxonomy code 207P00000X.