EVAN JAMES GORGAS
NPI 1174104483
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Q: What is Evan Gorgas's NPI number?

The NPI number for Evan Gorgas is 1174104483. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Evan Gorgas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Gorgas was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2021PECOS Enrolled

5333 MCAULEY DR RM 2115, YPSILANTI, MI 48197(734) 712-3971 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evan James Gorgas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN JAMES GORGAS (NPI 1174104483) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174104483

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEVAN JAMES GORGAS

Location Address5333 MCAULEY DR RM 2115Ypsilanti, MI 48197-1097

Mailing Address805 Spruce Hill LnOrtonville, MI 48462-8538 · (248) 568-6695

Phone(734) 712-3971

Sole ProprietorYes

Enumeration DateApril 19, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1174104483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5333 MCAULEY DR RM 2115, Ypsilanti, MI 48197

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan James Gorgas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARRED NAPIER MD

Student in an Organized Health Care Education/Training Program