Debra E Evola, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002394 Issued in MI

Practice address

131 Kercheval
Pierson Clinic
Grosse Pointe Farms, MI 48230

Phone

(313) 882-7900

NPI assigned

Feb 9, 2007

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Neurology Associates PC

  • Neurology Physician
  • Saint Clair Shores, MI
  • NPI 1861498362
  Medicare reassignment NPD
• Henry Ford Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1851410005
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1457492761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL",
            "address_2": "PIERSON CLINIC",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-882-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL",
            "address_2": "PIERSON CLINIC",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-882-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVOLA",
        "first_name": "DEBRA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700H231390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Ilene Durocher, L.M.S.W.
• Hayley Dymond
• Eastside Counseling and Consulting, Inc.
• Ciara L Eatmon, NP
• Raleigh D Eckert, PA, MSPH
• Extraordinary Minds Therapy Practice, PLLC
• Maha Fakherddine, MD
• Ashley Nicole Falco, M.D.
• Victoria Kathleen Helen Fawaz, NP
• Travis Michael Fields, PT, DPT

• Physician Assistant in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.