| Stephen John Evan, MD | |
|
7645 Market St, Suite 200, Boardman, OH 44512-6098 | |
| (330) 707-0771 | |
| Not Available |
| Full Name | Stephen John Evan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 7645 Market St, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639141187 | NPI | - | NPPES |
| 311549684 | Other | OH | OHIO BWC |
| 0270264 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35067701 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Services Llc | 9032367917 | 226 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Entity Name | Comprehensive Surgical Group Of Northeast Ohio Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831506369 PECOS PAC ID: 0941525349 Enrollment ID: O20150205001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen John Evan, MD 7645 Market St, Suite 200, Boardman, OH 44512-6098 Ph: (330) 707-0771 | Stephen John Evan, MD 7645 Market St, Suite 200, Boardman, OH 44512-6098 Ph: (330) 707-0771 |
Joseph G Protain, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 813 Kentwood Dr, Boardman, OH 44512 Phone: 330-953-3513 Fax: 330-953-0313 | |
Dr. Igor Milosevic, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7641 Market St Ste 2, Boardman, OH 44512 Phone: 330-726-0156 | |
Dr. Nicholas Frank Agnesi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 813 Kentwood Dr, Boardman, OH 44512 Phone: 330-533-1570 Fax: 330-953-2368 | |
Dr. Marie Linda Awad-alexander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 205, Boardman, OH 44512 Phone: 330-729-3125 Fax: 330-729-1861 | |
Lance Nicholas Blau, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 |