IndividualActive
Ethan Evankow, PA
NPI 1528580966 · Medical Physician Assistant · Dover Foxcroft, ME
Provider details
- NPI number
- 1528580966
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031348 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone: (207) 564-8401
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 639601
Cincinnati, OH 45263-9601
Additional practice locations (2)
- 791 Turner St Unit 2Auburn, ME 04210-6314Phone: (207) 330-3900Fax: (207) 330-3940
- 100 Hospital DrBennington, VT 05201-5004Phone: (802) 447-5023
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.