Ethan Evankow, PA
Physician Assistant, Medical in Dover Foxcroft, Maine
1528580966- Practice location
- 897 W Main St, Dover Foxcroft, ME 04426-1029
- Phone
- 207-564-8401
- Fax
- —
- Last updated
- July 22, 2025
Ethan Evankow is a Physician Assistant, Medical based in Dover Foxcroft, ME. Ethan Evankow practices in Dover Foxcroft, ME and has the professional credentials of PA. The NPI Number for Ethan Evankow is 1528580966 and holds a License No. 055.0031348 (VT). The current practice location address for Ethan Evankow is 897 W Main St, Dover Foxcroft, ME 04426-1029 and can be reached out via phone at 207-564-8401.
Provider Profile Details
- NPI Number
- 1528580966
- Provider Name
- Ethan Evankow
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 897 W Main St, Dover Foxcroft, ME 04426-1029
- Phone Number
- 207-564-8401
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2017
- Last Update Date
- July 22, 2025
- Certification Date
- July 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 897 W Main St
Dover Foxcroft, ME 04426-1029 - City
- Dover Foxcroft
- State
- Maine
- Zip
- 04426-1029
- Phone Number
- 207-564-8401
Provider Business Mailing Address Details
- Address
- Po Box 639601
Cincinnati, OH 45263-9601 - City
- Cincinnati
- State
- OH
- Zip
- 45263-9601
- Phone Number
- 856-686-4393
- Fax Number
- 856-694-5179
License Information
- License Number (1)
- 055.0031348
- License State (1)
- VT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA1241
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License State (3)
- VT
- Taxonomy (3)
- Physician Assistant · 363A00000X
- License Number (4)
- PA1241
- License State (4)
- ME
- Taxonomy (4)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Dover Foxcroft, ME
View all Physician Assistant, Medical providers in Dover Foxcroft →- Barbara E Bagley, LCPC-CCounselor, Professional · NPI 1992628077
- Sydney J Hutchins, RNRegistered Nurse · NPI 1730092297
- Ellen M Anderson, DPMPodiatrist · NPI 1104928464
- Whitney Lary, APRN-CNPNurse Practitioner, Family · NPI 1285464842
- Kyra B Bagley, RNRegistered Nurse · NPI 1558282814
- Hailee Hartford, RNRegistered Nurse · NPI 1437085966
Frequently Asked Questions
What is the NPI number of Ethan Evankow, PA?
The NPI number of Ethan Evankow, PA is 1528580966. It was assigned on July 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Ethan Evankow, PA?
Ethan Evankow, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055.0031348.
Where does Ethan Evankow, PA practice?
The practice location is 897 W Main St, Dover Foxcroft, ME 04426-1029. The office can be reached at 207-564-8401 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528580966 directly on the NPPES registry website.