VINCENT EVANOFF (NPI# 1720602105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720602105 |
| Entity Type | Individual |
| Full Name | VINCENT EVANOFF |
| Credential | PA-C |
| Practice Address |
275 Eastland Rd Berea OH 44017-2005 |
| Mailing Address |
4634 Hills and Dales Rd Nw Canton OH 44708-1510 |
| Practice Telephone | 4408262900 |
| Mailing Telephone | 3304770255 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.006459 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
275 EASTLAND RD |
| City | BEREA |
| State | OH |
| Zip Code | 44017-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669401006 | Andrea Monique Cook | Specialist/Technologist | 275 Eastland Rd, Berea, OH 44017-2005 | 2006-06-30 |
| 1881208692 | Molly Sephel | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-31 |
| 1821601493 | Andrea N Mcgannon | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-25 |
| 1093327983 | Mariah Cluss | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-20 |
| 1457963472 | Rylee Morgan Wheaton | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-20 |
| 1427660539 | Emily Po | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-19 |
| 1538779046 | Makenzie Karissa Mansfield Bowers | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-08-10 |
| 1053936740 | Mackenzie Nicole Winkle | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-06-09 |
| 1811510761 | Olivia Nicole Lust | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-05-27 |
| 1962024745 | Miranda Lynn Bodziony | Student in an Organized Health Care Education/Training Program | 275 Eastland Rd, Berea, OH 44017-2005 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240304 | Kevin Crabtree | Physician Assistant | 245 Prince Royal Dr, Suite A, Berea, KY 40403-1471 | 2008-04-02 |
| 1811933989 | Mark Otis Catron | Physician Assistant | 133 Plaza Dr Ste 3, Berea, KY 40403-2087 | 2006-06-20 |
| 1457669087 | Donita Hardy | Physician Assistant | 1036 Ace Dr, Berea, KY 40403-1327 | 2010-09-16 |
| 1306881107 | Jennifer E Vice | Physician Assistant | 305 Estill St, Berea, KY 40403-1742 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
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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.