| Mark Raymond Evans, MD | |
|
7001 S Edgerton Rd Ste 500, Brecksville, OH 44141-4206 | |
| (440) 526-4543 | |
| (440) 526-6126 |
| Full Name | Mark Raymond Evans |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7001 S Edgerton Rd Ste 500, Brecksville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932146115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35072737 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Raymond Evans, MD 1 Perkins Sq, Akron, OH 44308-1063 Ph: (440) 526-4543 | Mark Raymond Evans, MD 7001 S Edgerton Rd Ste 500, Brecksville, OH 44141-4206 Ph: (440) 526-4543 |
Carrie Ann Bohenick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7001 S Edgerton Rd Ste 500, Brecksville, OH 44141 Phone: 440-526-4543 Fax: 440-526-6126 | |
Lynn Maruskin, CNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6909 Royalton Rd Ste 304, Brecksville, OH 44141 Phone: 216-383-0100 Fax: 216-383-6481 | |
John Trudeau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6418 Oakes Rd, Brecksville, OH 44141 Phone: 440-665-3898 | |
Michelle Levy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6909 Royalton Rd Ste 304, Brecksville, OH 44141 Phone: 440-526-8222 Fax: 440-526-7881 | |
Elizabeth Hagen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6909 Royalton Rd Ste 304, Brecksville, OH 44141 Phone: 216-383-0100 Fax: 216-383-6481 |