Individual provider · Type 1 NPI

Ethan Evankow, PA

Medical Physician Assistant · Dover Foxcroft, ME

NPI number 1528580966 Active

Practice location

897 W Main St
Dover Foxcroft, ME 04426-1029

Call (207) 564-8401 Map

Mailing address

PO Box 639601
Cincinnati, OH 45263-9601

Other practice locations

  • 791 Turner St Unit 2, Auburn, ME 04210-6314 · (207) 330-3900
  • 100 Hospital Dr, Bennington, VT 05201-5004 · (802) 447-5023

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X055.0031348 (VT)
Physician Assistant 363A00000XPA1241 (ME)
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA1241 (ME)

Medical Physician Assistant: Definition to come...

30 other providers at this address

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About NPI 1528580966

Ethan Evankow, PA's National Provider Identifier is 1528580966, issued on Jul 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dover Foxcroft, ME. The record was last updated on Jul 22, 2025.