ELLEN R EVANS M.D.
NPI 1679696611
Family Medicine - Geriatric Medicine in Omaha, NE

Active since April 06, 2007
9662 N 29TH ST, OMAHA, NE 68112(402) 510-9923 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellen R Evans M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN R EVANS M.D. (NPI 1679696611) is an individual geriatric medicine provider in Omaha, Nebraska, licensed in Oklahoma (14875) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1679696611
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameELLEN R EVANSCredential: M.D.
Location Address9662 N 29TH STOmaha, NE 68112-1524
Mailing Address9662 N 29th StOmaha, NE 68112-1524 · (402) 510-9923
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1679696611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses Licensed in OK · 14875 Licensed in NE · 17202 Licensed in TX · G5030
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 17202 (NE), G5030 (TX), 14875 (OK)
9662 N 29TH ST, Omaha, NE 68112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679696611, enumerated as an "individual" on April 06, 2007.

The provider is located at 9662 N 29TH ST OMAHA, NE 68112 and the phone number is (402) 510-9923.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.