MR. JEFFREY ROBERT EVANKO (NPI# 1477006690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477006690 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ROBERT EVANKO |
| Credential | D.M.D. |
| Practice Address |
3637 Medina Rd Suite #200 Medina OH 44256-9654 |
| Practice Telephone | 3307256182 |
| Mailing Telephone | 3307256182 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.24802 | OH | Dental Providers |
| Street Address |
3637 MEDINA RD SUITE #200 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-9654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786822 | Karla Jean Madalin | Psychiatry & Neurology | 3637 Medina Rd, Ste 220, Medina, OH 44256-8154 | 2006-03-31 |
| 1831707611 | Carlien Hefer | Health Educator | 3637 Medina Rd, Medina, OH 44256-9654 | 2020-07-17 |
| 1063865848 | Ronald S. Ricci Dds Inc. | Dentist | 3637 Medina Rd, Suite #200, Medina, OH 44256-9654 | 2016-07-18 |
| 1053626879 | Summa Physicians Inc | Family Medicine | 3637 Medina Rd, Suite 70, Medina, OH 44256-9654 | 2010-08-17 |
| 1053645390 | Jennifer Lee Gibbs | Speech-Language Pathologist | 3637 Medina Rd, Suite 220, Medina, OH 44256-9654 | 2009-09-18 |
| 1942471396 | Angela Jeanette Jayes | Registered Nurse | 3637 Medina Rd, Medina, OH 44256-9654 | 2008-03-13 |
| 1598947566 | Julie Reeves Md, Inc | Family Medicine | 3637 Medina Rd, Medina, OH 44256-9654 | 2007-12-03 |
| 1760500656 | Carol L Ricci | Dentist | 3637 Medina Rd, Suite 200, Medina, OH 44256-9654 | 2007-03-27 |
| 1932227782 | Ronald S Ricci | Dentist | 3637 Medina Rd, Suite 200, Medina, OH 44256-9654 | 2007-03-27 |
| 1801927678 | Michael A Goyette | Dentist | 3637 Medina Rd, Suite 100, Medina, OH 44256-9654 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387531 | Dental Professionals Cleveland - Nouneh, Inc. | Dentist | 4184 Pearl Rd # 103, Medina, OH 44256-7648 | 2018-12-10 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1407232218 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 890 N Court St, Medina, OH 44256-1719 | 2015-08-04 |
| 1104019587 | Sedon Dental Providers (medina), Inc. | Dentist | 5014 Grande Shops Ave, Medina, OH 44256 | 2007-08-20 |
| 1043438351 | Gregory E Kramer Dds & Michael A Goyettedds Inc | Dentist | 3637 Medina Rd Ste 100, Medina, OH 44256-8153 | 2007-04-23 |
| 1558440644 | Elisa M Caloca | Dentist | 5014 Grande Blvd, Medina, OH 44256 | 2006-11-02 |
| 1497840201 | Norman M. Pivovar | Dentist | 1118 N Court St, Medina, OH 44256-1580 | 2006-10-04 |
| 1033203039 | Eric Ray Winders | Dentist | 807 East Washington St., Medina, OH 44256 | 2006-10-03 |
| 1588757470 | South Court Dental Medicine, Inc. -jeffrey C Esterburg D.m.d. and Mich | Dentist | 1063 S Court St, Medina, OH 44256-2824 | 2006-10-02 |
| 1972510758 | Robert Eugene Geary | Dentist | 531 E Smith Rd, Medina, OH 44256-3683 | 2006-08-02 |
| Find all providers in MEDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.