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Michael J Evan

  • Male

Medical Specialty

Professional ID

  • NPI: 1437151362
  • PECOS ID: 3072580786
  • Enrollment ID: I20170809001940
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 1998

Hospital Service

  • Hospital CCN1: 390321
  • Business Name (LBN)1: Surgical Specialty Center At Coordinated Health
  • Hospital CCN2: 220015
  • Business Name (LBN)2: Cooley Dickinson Hospital Inc,the
  • Hospital CCN3: 390185
  • Business Name (LBN)3: Lehigh Valley Hospital - Hazleton

Medical Practices

  • Organization Name: Professional Anesthesia Services Of North America Llc
  • Group Practice ID assigned by PECOS: 1658698824
  • Number of Group Practice member: 48

Location

  • Address1: 1503 N Cedar Crest Blvd
  • Address2:
  • City: Allentown
  • State: Pennsylvania
  • Zip Code: 18104
  • Phone Number: (610)861-8080

Location

  • Address1: 2310 Highland Ave
  • Address2:
  • City: Bethlehem
  • State: Pennsylvania
  • Zip Code: 18020
  • Phone Number: (610)861-8080

Medical Practices

  • Organization Name: Pioneer Valley Anesthesia, Llc
  • Group Practice ID assigned by PECOS: 7911164082
  • Number of Group Practice member: 19

Location

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):