Wayne N Evancho DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAYNE N EVANCHO DO PA

Practice address

1380 NE Miami Gardens Dr
Suite 285
North Miami Beach, FL 33179-4707

Phone

(305) 944-8777

Fax

(305) 944-3006

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Evancho, MDNPI 1619069804

Title

Owner

Phone

(305) 944-8777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Nicholas Evancho, DO

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1619069804
  Medicare reassignment Authorized official
• Svetlana Polyak, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1164871745
  Medicare reassignment
• Judith Bruno, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1205602901
  NPD
• Lisset Casanueva, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1699442657
  NPD
• Bethsaida Cesar, ARNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1376068999
  NPD
• Vanessa Gonzalez, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1235739897
  NPD
• Daphney Sydney, DNP, AAPRN, FNP-BC

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1457785636
  NPD
• Saad Mirza, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1922093848
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1902066368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 CASTLEGATE AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313236",
            "telephone_number": "305-944-8777",
            "fax_number": "305-944-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 285",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-944-8777",
            "fax_number": "305-944-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE N EVANCHO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "EVANCHO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-944-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Warmbrand
• Norman Henry Wasserman, M.D.
• Watercrest Acquisition I LLC
• Barry Howard Waterman, D.M.D.
• Catherine Watson, AU.D.
• Wayne R. Porter M.D. P.a.
• We Are Essential, LLC
• Marc K Weinberg, D.C.
• Jose Ruben Weisinger, MD
• Mark L Weiss, DMD, PA

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.