Healthcare Provider Details

I. General information

NPI: 1649279092
Provider Name (Legal Business Name): HILLARY A EVANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N POPLAR ST
OXFORD OH
45056-1204
US

IV. Provider business mailing address

PO BOX 729
OXFORD OH
45056-0729
US

V. Phone/Fax

Practice location:
  • Phone: 513-965-8041
  • Fax: 513-965-8091
Mailing address:
  • Phone: 513-965-8041
  • Fax: 513-965-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35072194E
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: