MEDICARE: EVEORY-ASPEN SCOTT PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1790617769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVEORY-ASPEN SCOTT PA

Provider Business Mailing Address
First Line	:	315 H ST NE APT 603
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6805
Country	:	US
Telephone Number	:	404-641-3390
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N CAPITOL ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4232
Country	:	US
Telephone Number	:	404-641-3390
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ EVEORY-ASPEN SCOTT PA” Practice Location

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