MEDICARE: DR. ANTHONY C EVANS JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	311933	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720198880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY C EVANS JR. MD

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-216-3006
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	500 RUE DE LA VIE ST STE 515
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-5129
Country	:	US
Telephone Number	:	225-216-3006
Fax Number	:	225-922-3743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	10/30/2024

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