DR. GEORGE H EVANCHO (NPI# 1487653440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653440 |
| Entity Type | Individual |
| Full Name | DR. GEORGE H EVANCHO |
| Credential | DPM |
| Practice Address |
632 Cedar Rd Suite B Chesapeake VA 23322-8376 |
| Practice Telephone | 7575470123 |
| Practice Fax Number | 7575472412 |
| Mailing Telephone | 7575470123 |
| Mailing Fax Number | 7575472412 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 179 | NC | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 0103000375 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | 480017876 | 01 |
| VA | ANTHEM | 358171 | 01 |
| VA | OPTIMA | 52487 | 01 |
| VA | MAMSI | 211329 | 01 |
| Street Address |
632 CEDAR RD SUITE B |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23322-8376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464726 | Active Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2014-07-08 |
| 1326453499 | Active Foot and Ankle Center | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2014-06-26 |
| 1790021061 | Stephen A. Asam, D.d.s., P.C. | Dentist | 632 Cedar Rd, Suite A, Chesapeake, VA 23322-8376 | 2012-12-14 |
| 1558681197 | Munjed Salem | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2010-06-06 |
| 1902817117 | Dr. George H. Evancho, P.C. | Durable Medical Equipment & Medical Supplies | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2006-08-11 |
| 1326058132 | Dr. George H. Evancho, P.C. | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2006-08-08 |
| 1558347922 | Stephen Adolf Asam | Dentist | 632 Cedar Rd, Suite A., Chesapeake, VA 23322-8376 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
| 1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
| 1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
| 1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
| 1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| 1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
| Find all providers in zip 23322 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700071529 | Rex Galam Diaz | Podiatrist | 612 Kingsborough Sq Suite 202, Chesapeake, VA 23320 | 2007-09-14 |
| 1326016510 | Harry A Fee | Podiatrist | 1098 Cascade Blvd, Chesapeake, VA 23324-3530 | 2006-03-14 |
| 1487622445 | Philbert Kuo | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2006-03-08 |
| 1881678613 | Alan Robert Cook | Podiatrist | 108 American Legion Rd, Chesapeake, VA 23321-5657 | 2005-12-05 |
| 1124308507 | Diaz Foot & Ankle Center Pllc | Podiatrist | 612 Kingsborough Sq, Suite 202, Chesapeake, VA 23320-5041 | 2011-08-17 |
| 1952611568 | Advanced Podiatry of Hampton Roads | Podiatrist | 612 Kingsborough Square, Suite 202, Chesapeake, VA 23320 | 2010-10-15 |
| 1558681197 | Munjed Salem | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2010-06-06 |
| 1568605632 | Philbert H. Kuo, D.p.m. | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2009-04-19 |
| 1962666073 | Dr.jamesl Singletonjr Dpm | Podiatrist | 1098 Cascade Blvd, 1098 Cascade Blvd., Chesapeake, VA 23324-3530 | 2008-07-17 |
| 1881858066 | Harry A Fee Dpm PC | Podiatrist | 1098 Cascade Blvd, Chesapeake, VA 23324-3530 | 2008-07-16 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23322 |
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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.