MEDICARE: AKE S EVANS 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	208100000X	Physical Medicine & Rehabilitation Physician	A103068	CA
2	208100000X	Physical Medicine & Rehabilitation Physician	MD2015-0595	NM
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	DR.0051653	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9651706	OTHER		AETNA PROVIDER NUMBER
2	A103068	OTHER	CA	MEDICAL BOARD LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	12205977	OTHER	CA	CAQH PROVIDER NUMBER

General Provider Information

NPI Number	:	1689849945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKE S EVANS MD

Provider Business Mailing Address
First Line	:	23750 E 14TH AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-1974
Country	:	US
Telephone Number	:	720-452-9130
Fax Number	:	303-747-3407

Provider Business Practice Location Address
First Line	:	23750 E 14TH AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-1974
Country	:	US
Telephone Number	:	720-452-9130
Fax Number	:	303-747-3407

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

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	01/27/2026

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Directions to “ AKE S EVANS MD” Practice Location

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