Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1942260963 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Evans , MD

Emergency Medicine • Maple Grove, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2006
NPI Deactivation Date January 22, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Evans, MD was a registered Emergency Medicine practicing in Maple Grove, MN. Throughout an active medical career spanning 20 years, Dr. Evans provided care at the practice location at 12000 ELM CREEK BLVD N until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N
#140

Maple Grove, MN 553697073

Telephone 7634207048
Fax 7634207938
Associated Practice Facility / Clinic
🏢 Maple Grove Urgent Care Facility NPI 1609834944

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Maple Grove, MN (1376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MN 024280

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Michael Gallagher , FNP

Nurse Practitioner - Occupational Health

NPI 1154489052

Family Nurse Practitioner

Dr. Jordan Holtzman , MD

Internal Medicine

NPI 1235187907

Doctor of Medicine (M.D.)

Dr. Richard Streu , MD

Family Medicine

NPI 1437103355

Doctor of Medicine (M.D.)

Dr. David Mersy , MD

Family Medicine

NPI 1588618870

Doctor of Medicine (M.D.)

NPI 1639129992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2009

Registered at 12000 ELM CREEK BLVD N, #140, MAPLE GROVE, MN 553697073 (Tel: 7634207048)

📍
Updated Business Mailing Address June 09, 2009

Registered at 6613 W SHORE DR, EDINA, MN 554351528 (Tel: 9529206600)

👤
Provider Name / Credentials Updated June 09, 2009

Recorded as THOMAS EVANS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Emergency Medicine (License #024280 in MN)

🟢
Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Evans. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Evans

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1942260963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: June 09, 2009
Deactivation Date: January 22, 2026

Mailing Address

6613 W Shore Dr

Edina, MN 554351528

Phone: 9529206600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.