Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Evankow, PA

Individual provider Physician Assistant · NPI 1528580966

Ethan Evankow, PA is a Physician Assistant in Dover Foxcroft, Maine. Works from 3 locations. Licensed in Maine and Vermont.

Licensed in
ME, VT
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone: (207) 564-8401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 791 Turner St Unit 2, Auburn, ME 04210-6314 — (207) 330-3900
  • 100 Hospital Dr, Bennington, VT 05201-5004 — (802) 447-5023

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1241 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 055.0031348 (VT)
Physician Assistant Taxonomy 363A00000X · Licence PA1241 (ME)
Physician Assistant Taxonomy 363A00000X (VT)

Record details

NPI number1528580966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 639601, Cincinnati, OH 45263-9601

Other providers in Dover Foxcroft