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EVERGREEN PRIMARY CARE PLLC
NPI 1831768704
Internal Medicine in Eagan, MN

Active since June 23, 2021
1337 WILDERNESS RUN DR, EAGAN, MN 55123(612) 817-7240 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Primary Care Pllc NPPES

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

EVERGREEN PRIMARY CARE PLLC (NPI 1831768704) is a healthcare organization registered as an internal medicine in Eagan, Minnesota and active in the NPI registry since June 2021. The organization lists Shary Vang, Member, as its authorized official.

NPPES Registry Identity

NPI1831768704
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVERGREEN PRIMARY CARE PLLC
Location Address1337 WILDERNESS RUN DREagan, MN 55123-1856
Mailing Address1337 Wilderness Run DrEagan, MN 55123-1856
Phone(612) 817-7240
Organization SubpartNo
Authorized OfficialShary VangMember · (612) 817-7240
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1831768704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
1337 WILDERNESS RUN DR, Eagan, MN 55123
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Primary Care PLLC's NPI number?

The NPI number for Evergreen Primary Care PLLC is 1831768704. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Evergreen Primary Care PLLC located?

Evergreen Primary Care PLLC is located at 1337 Wilderness Run Dr, Eagan, MN 55123. The listed phone number is (612) 817-7240.

What is Evergreen Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Primary Care PLLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.