MEDICARE: JOHN EVANKOVICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD454974	PA

General Provider Information

NPI Number	:	1154689511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN EVANKOVICH

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:	UPMC MONTEFIORE SUITE NW628
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:	UPMC MONTEFIORE SUITE NW628
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-692-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	01/23/2026

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Directions to “ JOHN EVANKOVICH ” Practice Location

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