Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. David Evans, PA-C

Individual provider Physician Assistant · NPI 1063410538

Mr. David Evans, PA-C is a Physician Assistant in Kettering, Ohio. Qualified in 1981, 45 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
45
Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3533 Southern Blvd Ste 2250
Kettering, OH 45429-1270
Phone: (937) 534-0330
Fax: (937) 522-8995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50000431 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50000431 (OH)

Record details

NPI number1063410538
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 8, 2005
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address3533 Southern Blvd Ste 2250, Kettering, OH 45429-1270

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kettering