Provider Demographics
NPI:1578443602
Name:EVANS, JOSEPH DORIAN
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DORIAN
Last Name:EVANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6577 GRAF DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1417
Mailing Address - Country:US
Mailing Address - Phone:513-904-2861
Mailing Address - Fax:
Practice Address - Street 1:8210 MAYWOOD DR
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-1447
Practice Address - Country:US
Practice Address - Phone:513-904-2861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty