EVOLUTION MD, LLC – NPI #1699425314
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EVOLUTION MD, LLC is a provider located in CREVE COEUR, MO. NPPES has assigned the NPI number 1699425314 to EVOLUTION MD, LLC on March 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Apr 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVOLUTION MD, LLC below.

NPI Profile for
EVOLUTION MD, LLC

NPI Number
1699425314
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVOLUTION MD, LLC
Primary location
522 N NEW BALLAS RD STE 317
CREVE COEUR, MO 63141-6840
Phone: (636) 534-0200 Fax: (636) 534-0201
Mailing address
PO BOX 37002
SAINT LOUIS, MO 63141-1502
Phone: Fax:
Organization Subpart
No
Authorized Official
JOSE PARRA
OWNER
Phone: (636) 534-0200
Updated
Certification Date
Apr 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.