ETHAN EVANKOW PA
NPI 1528580966
Physician Assistant - Medical in Dover Foxcroft, ME
NPI Status: Active since July 07, 2017
Contact Information
897 W MAIN ST
DOVER FOXCROFT, ME
ZIP 04426
Phone: (207) 564-8401
- Individual
- Male
- Physician Assistant
- Medical
- PECOS Enrolled
About ETHAN EVANKOW
This page provides the complete NPI Profile along with additional information for Ethan Evankow, a primary care provider established in Dover Foxcroft, Maine with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1528580966 assigned on July 2017. The practitioner's primary taxonomy code is 363AM0700X with license number PA1241 (ME). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1528580966
- Provider Name
- ETHAN EVANKOW PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 897 W MAIN ST DOVER FOXCROFT, ME 04426
- Location Phone
- (207) 564-8401
- Mailing Address
- PO BOX 639601 CINCINNATI, OH 45263
- Mailing Phone
- (856) 686-4393
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2017
- Last Update Date
- 07-22-2025
- Code Navigator
A primary care provider (PCP) like Ethan Evankow sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 791 Turner St Unit 2
Auburn, ME 04210
(207) 330-3900 - 100 Hospital Dr
Bennington, VT 05201
(802) 447-5023
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA1241
- License State
- ME
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 055.0031348 (VT) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA1241 (ME) |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (VT) |
Medicare Participation & PECOS Enrollment Status
Ethan Evankow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Established patient office or other outpatient visit, 20-29 minutes
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 18 times for 18 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 14 times for 14 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 18 times for 18 patientsReviews for ETHAN EVANKOW PA
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528580966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DOVER FOXCROFT, ME 04426
DOVER FOXCROFT, ME 04426
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528580966, enumerated as an "individual" on July 07, 2017.
The provider is located at 897 W MAIN ST DOVER FOXCROFT, ME 04426 and the phone number is (207) 564-8401.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
