MICHAEL RICHARD EVANKOVICH


Address: 311 W 24th St, Suite 101, Erie, PA 16502-2665
Phone: 8144524214

MICHAEL RICHARD EVANKOVICH (NPI# 1689621898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689621898
Entity Type Individual
Full Name MICHAEL RICHARD EVANKOVICH
Credential MD
Practice Address 311 W 24th St
Suite 101
Erie
PA 16502-2665
Mailing Address 311 W 24th St Ste 101
Erie
PA 16502-2668
Practice Telephone 8144524214
Practice Fax Number 8144597823
Mailing Telephone 8144524214
Mailing Fax Number 8144597823
Enumeration Date 2006-05-31
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD060400L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA BLUE SHIELD 261978 01
PA 0017973700003 05
PA RR MEDICARE P00324768 01
NY UNIVERA 00025198402 01
PA GATEWAY 1041777 01
PA AETNA 1278964 01
NY NY MEDICAL ASSISTANCE 02079629 01
PA UNISON 182151 01
OH OH MEDICAL ASSISTANCE 2662659 01
PA UPMC 212543 01

Office Location

Street Address 311 W 24TH ST
SUITE 101
City ERIE
State PA
Zip Code 16502-2665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013917814 Edward C Clark Internal Medicine 311 W 24th St, Suite 402, Erie, PA 16502-2665 2005-07-22
1003477407 Mary Katherine Lasher Family Medicine 311 W 24th St, Erie, PA 16502-2665 2019-06-26
1154857274 Joseph Michael Krissel Emergency Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2017-05-10
1245764182 Muhammad Samad Khan Emergency Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2017-04-18
1396279600 Jessica Lerman Emergency Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2017-04-13
1497289821 Joseph Datsko Emergency Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2017-04-12
1093257487 Saint Vincent Medical Education and Research Inst. Inc Podiatrist 311 W 24th St, Suite 303, Erie, PA 16502-2665 2016-11-16
1447609847 Tad Antognini Family Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2016-06-07
1689022253 Albert Tang Family Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2016-05-24
1316391543 Adam Fredrick Christensen Emergency Medicine 311 W 24th St, 4th Floor, Erie, PA 16502-2665 2016-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679064794 Fernando Torres Specialist/Technologist 549 1/2 W 7th St, Erie, PA 16502 2018-05-24
1548782907 Michael Wayne Hankins Jr. Podiatrist 5515 Peach Street, Erie, PA 16502 2017-07-07
1730609041 Michael Greg Palmer Family Medicine 311 West 24th Street 4th Floor, Erie, PA 16502 2017-06-27
1245658723 Amy Adamus Licensed Practical Nurse 1647 Sassafras Street, Erie, PA 16502 2014-04-02
1295011088 Margaret Gay Wardd Licensed Practical Nurse 1757 West 23 Street, Erie, PA 16502 2011-10-25
1659510782 Kristen Kathleen Curry Social Worker 329 W. 10th St., Erie, PA 16502 2009-02-12
1699928416 Kelly Cathleen Kelly-zazado Social Worker 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 2008-10-23
1922149350 Wei-lung Sam Wu Internal Medicine Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 2007-02-09
1003970146 Claire Donch Psychologist 301 West 10th Street, Erie, PA 16502 2006-12-21
1730703117 Vincent Viet Ngo Family Medicine 311 West 24th Street, 4th Floor, Erie, PA 16502 2020-06-02
Find all providers in zip 16502

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043477334 Lori Mae Dulabon Urology 5401 Peach St Ste 3600, Erie, PA 16509-2601 2008-05-22
1922031285 Floyd M Csir Urology 311 West 24th St, Suite 101, Erie, PA 16502-2665 2006-07-09
1396778551 Zdzislaw J Chorazy Urology 311 West 24th Street, Suite 101, Erie, PA 16502-2665 2006-07-09
1528026986 Burkhardt H Zorn Urology 311 W 24th St Ste 101, Erie, PA 16502-2668 2006-05-03
1255325775 Thomas Francis Walsh Urology 100 Peach St Ste 102, Erie, PA 16507-1423 2005-09-12
1295730695 Justine Marut Schober Urology 300 State St Ste 301b, Erie, PA 16507-1430 2005-06-14
1871128447 Millcreek Community Hospital Urology 5401 Peach St Ste 3600, Erie, PA 16509-2601 2020-03-04
1801288170 Roy Scott Cooper Urology 100 Peach St Ste 102, Erie, PA 16507-1423 2015-02-24
1497094551 Saint Vincent Medical Education and Research Institute Urology 311 W 24th St, Suite 101, Erie, PA 16502-2665 2013-02-11
1366768087 Michael J Miller Urology 100 Peach St Ste 102, Erie, PA 16507-1423 2010-04-20
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16502

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Dataset Information

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.

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