Wayne N Evancho (NPI# 1619069804, PAC ID# 1850451923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619069804 |
| PAC ID by PECOS | 1850451923 |
| Professional Enrollment ID | I20081119000284 |
| Full Name | Wayne N Evancho |
| Organization Legal Name | HEALTHSTONE PRIMARY CARE PARTNERS LLC |
| Address |
1380 Ne Miami Gardens Dr Suite 285 North Miami Beach FL 33179-4758 |
| Phone Number | 3049448777 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416230693 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1380 Ne Miami Gardens Dr, Suite 285, North Miami Beach, FL 33179-4758 | 3049448777 | HEALTHSTONE PRIMARY CARE PARTNERS LLC |
| 1380 Ne Miami Gardens Dr, Suite 285, North Miami Beach, FL 33179-4758 | 3059448777 | WAYNE N EVANCHO DO PA |
| Organization Legal Name | HEALTHSTONE PRIMARY CARE PARTNERS LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle Estrada | Internal Medicine | Healthstone Primary Care Partners LLC | 3039 Johnson St, Hollywood, FL 33021-5536 |
| Rene A Reyes | Internal Medicine | Healthstone Primary Care Partners LLC | 3700 Washington St, Suite 404, Hollywood, FL 33021-8249 |
| Svetlana F Polyak | Nurse Practitioner | Healthstone Primary Care Partners LLC | 1380 Ne Miami Gardens Dr, Suite 285, North Miami Beach, FL 33179-4758 |
| Kevin A Lara | Nurse Practitioner | Healthstone Primary Care Partners LLC | 3700 Washington St, Suite 305, Hollywood, FL 33021-8249 |
| Yul Marietta Lopez | Nurse Practitioner | Healthstone Primary Care Partners LLC | 12301 Taft St, Suite 100, Pembroke Pines, FL 33026-4387 |
| Dayana Rubio | Physician Assistant | Healthstone Primary Care Partners LLC | 3700 Washington St, Hollywood, FL 33021-8249 |
| Anay Puntonet | Internal Medicine | Healthstone Primary Care Partners LLC | 3700 Washington St, Suite 305, Hollywood, FL 33021-8249 |
| Lauren Ashley Maselli | Internal Medicine | Healthstone Primary Care Partners LLC | 3700 Washington St, Suite 404, Hollywood, FL 33021-8249 |
| Dominique Palumbo | Physician Assistant | Healthstone Primary Care Partners LLC | 5770 Stirling Rd, Hollywood, FL 33021-1549 |
| Natalee Covitz | Physician Assistant | Healthstone Primary Care Partners LLC | 600 N 17th Ave, Hollywood, FL 33020-4606 |
| Street Address |
1380 NE MIAMI GARDENS DR SUITE 285 |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip | 33179-4758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricardo I Gerenstein | Pain Management | 1380 Ne Miami Gardens Dr, Suite 130, Miami, FL 33179-4744 | |
| Jahanbakhsh Nasserzare | Psychiatry | 1380 Ne Miami Gardens Dr, Suite 215, North Miami Beach, FL 33179-4709 | |
| Svetlana F Polyak | Nurse Practitioner | Healthstone Primary Care Partners LLC | 1380 Ne Miami Gardens Dr, Suite 285, North Miami Beach, FL 33179-4758 |
| Violetta Lyra | Obstetrics/gynecology | 1380 Ne Miami Gardens Dr, Suite 260, Miami, FL 33179-4721 | |
| Gaston Rafael Moran Celayes | Internal Medicine | Internal Medicine Associates of South Florida, P.a. | 1380 Ne Miami Gardens Dr, Suite 100, North Miami Beach, FL 33179-4708 |
| Karina A Nieto- Antonione | Physical Therapy | Stylet Healthcare Pa | 1380 Ne Miami Gardens Dr, Suite 132, Miami, FL 33179-4744 |
| Maria D Rodriguez | Occupational Therapy | Stylet Healthcare Pa | 1380 Ne Miami Gardens Dr, Suite 132, Miami, FL 33179-4744 |
| Andy R Green | Dermatology | 1380 Ne Miami Gardens Dr, Suite 270, Miami, FL 33179-4707 | |
| Richard L Taylor Jr. | General Surgery | 1380 Ne Miami Gardens Dr, Suite 140, North Miami Beach, FL 33179-4744 | |
| Dennis Oleary | Internal Medicine | Internal Medicine Associates of South Florida, P.a. | 1380 Ne Miami Gardens Dr, Suite 100, North Miami Beach, FL 33179-4708 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Michael Katims | Diagnostic Radiology | Ics Radiology, Inc. | 2065 Ne 204 St, Miami, FL 33179-2218 |
| Robert P Beecham | Diagnostic Radiology | Intellirad Imaging LLC | 2065 Ne 204th St, Miami, FL 33179-2218 |
| John B Stockel | Diagnostic Radiology | Intellirad Imaging LLC | 2065 Ne 204th St, Miami, FL 33179-2218 |
| Michael Alexander Letzing | Diagnostic Radiology | Intellirad Imaging LLC | 2065 Ne 204th St, Miami, FL 33179-2218 |
| Osama Gomaa | Diagnostic Radiology | Intellirad Imaging LLC | 2065 Ne 204th St, Miami, FL 33179-2218 |
| Nicola Chung | Psychologist, Clinical | 1021 Ives Dairy Rd, Suite 119, North Miami Beach, FL 33179-2537 | |
| Jack R Weitz | Psychologist, Clinical | 1021 Ives Dairy Rd, Suite 119, Miami, FL 33179-2537 | |
| Elizabeth Allen Trop-roberts | Clinical Psychologist | 1021 Ives Dairy Rd, Suite 119, North Miami Beach, FL 33179-2537 | |
| Jean L Trescott | Psychologist, Clinical | 1031 Ives Dairy Rd, Suite 119, Miami, FL 33179-2538 | |
| Alan P Levitt | Optometry | 1031 Ives Dairy Rd, Suite 133, Miami, FL 33179-2538 | |
| Find all physicians in zip 33179 | |||
| City | NORTH MIAMI BEACH |
| Zip Code | 33179 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH MIAMI BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wayne N Evancho.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.