SAMUEL C. EVANS M.D. – NPI #1407197684
Family Medicine
The NUCC recommends this code not be used. Choose a more appropriate code.
SAMUEL EVANS is a physician located in WEST PLAINS, MO. NPPES has assigned the NPI number 1407197684 to SAMUEL EVANS on March 12, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine
The NPI profile was previously updated about 6 years ago on Sep 30, 2020. 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 SAMUEL EVANS below.
NPI Profile for
SAMUEL C. EVANS
(more than 13 years ago)
WEST PLAINS, MO 65775-2092 Phone: (417) 257-5911 Fax: (417) 257-5913
1 Other location(s):
Caulfield, MO 65626
Phone: (417) 942-6357
WEST PLAINS, MO 65775-1100 Phone: (417) 256-9111 Fax: (417) 257-5947
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.
Identifiers for SAMUEL EVANS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | STATE LICENSE | MO | 2020012799 |
| MEDICAID | MO | 200084697 |
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 |
|---|---|---|
| 207QA0505X - Family Medicine / Adult Medicine (Primary) |
AR | C-8117 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SAMUEL EVANS is affiliated with the following medical group(s):
- HOSPITAL
- OZARKS HEALTHCARE1100 KENTUCKY AVE
WEST PLAINS, MO 65775
- OZARKS HEALTHCARE1100 KENTUCKY AVE
- HOME HEALTH AGENCY
- KINDRED AT HOME1206 HOMELIFE PLAZA
ROLLA, MO 65401
- KINDRED AT HOME1206 HOMELIFE PLAZA
Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.
Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.