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

Individual provider Urology Physician · NPI 1689621898

Michael Richard Evankovich, MD is an Urology in Erie, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 1994, 32 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

311 W 24th St Ste 101
Erie, PA 16502-2665
Phone: (814) 452-4214
Fax: (814) 459-7823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD060400L (PA)

Record details

NPI number1689621898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address311 W 24th St Ste 101, Erie, PA 16502-2668

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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