John Evanoff (NPI# 1093714503, PAC ID# 7618026386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093714503 |
| PAC ID by PECOS | 7618026386 |
| Professional Enrollment ID | I20100706000119 |
| Full Name | John Evanoff |
| Organization Legal Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Address |
1990 County Rd U Metamora OH 43540-9717 |
| Phone Number | 4196444818 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365348190 |
| Number of Group Practice Members | 653 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 360090 | ST LUKE'S HOSPITAL |
| 361333 | FULTON COUNTY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1990 County Rd U, Metamora, OH 43540-9717 | 4196444818 | PROMEDICA CENTRAL PHYSICIANS LLC |
| Organization Legal Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Physicians | 683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marwa El-bohy | Pediatric Medicine | Promedica Central Physicians LLC | 6005 Monclova Rd, Suite 320, Maumee, OH 43537-1862 |
| Holly Hapner | Family Medicine | Promedica Central Physicians LLC | 1601 Brigham Dr, 250a, Perrysburg, OH 43551-7115 |
| Lisa L Bainter | Nurse Practitioner | Promedica Central Physicians LLC | 2109 Hughes Dr, Suite 760, Toledo, OH 43606-5111 |
| Lori Ann Schuh | Neurology | Promedica Central Physicians LLC | 2130 W Central Ave, Toledo, OH 43606-3834 |
| Laura R Rejent | Physician Assistant | Promedica Central Physicians LLC | 5700 Monroe St, Sylvania, OH 43560-2767 |
| Phebe E Shawver | Nurse Practitioner | Promedica Central Physicians LLC | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 |
| Dani Zoorob | Obstetrics/gynecology | Promedica Central Physicians LLC | 501 Van Buren St, Fostoria, OH 44830-1534 |
| Benjamin Assenmacher | Orthopedic Surgery | Promedica Central Physicians LLC | 2751 Bay Park Dr, Suite 201, Oregon, OH 43616-4922 |
| Jordan M Siewert | Family Medicine | Promedica Central Physicians LLC | 217 Golden Gate Plz, Maumee, OH 43537-2881 |
| Alisa Marie Lopez | Nurse Practitioner | Promedica Central Physicians LLC | 5308 Harroun Rd, Suite 180, Sylvania, OH 43560-2193 |
| Street Address |
1990 COUNTY RD U |
| City | METAMORA |
| State | OH |
| Zip | 43540-9717 |
| City | METAMORA |
| Zip Code | 43540 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | METAMORA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John Evanoff.
| 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.