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

Mr. Evan Reid Vandenbosch, PA-C

Individual provider Surgical Physician Assistant · NPI 1710342134

Mr. Evan Reid Vandenbosch, PA-C is a Physician Assistant in Livonia, Michigan. Qualified in 2015, 11 years ago. Practices with Mendelson Orthopedics PC, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

36622 5 Mile Rd Ste 101
Livonia, MI 48154-1900
Phone: (734) 542-0200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 35735 Mound Rd Ste 100, Sterling Heights, MI 48310-4728 — (586) 261-1960

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007644 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601007644 (MI)

Record details

NPI number1710342134
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2015
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mendelson Orthopedics Pc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Livonia