Physician Assistant, Medical
ETHAN EVANKOW PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528580966 · enumerated 2017-07-07 · record updated 2025-07-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 897 W MAIN ST, DOVER FOXCROFT, ME, 04426-1029 (207) 564-8401 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 639601, CINCINNATI, OH, 45263-9601 (856) 686-4393 Fax (856) 694-5179 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 055.0031348 VT
- Physician Assistant 363A00000X · License PA1241 ME
- Physician Assistant 363A00000X
- Physician Assistant, Medical 363AM0700X · Primary · License PA1241 ME
In this directory
ME Piscataquis County Dover Foxcroft Physician Assistant, Medical
Locations and evidence
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Practice location
DOVER FOXCROFT, ME, 044261029
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.