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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANTONIA DENISE GORE MD
NPI 1881587269
Student in an Organized Health Care Education/Training Program in Yuma, AZ

Active since June 02, 2025PECOS Enrolled
7200 E 31ST PL, YUMA, AZ 85365(928) 336-2090 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Jun 18, 2025, Jun 2, 2025 (3 updates tracked since 2025).

About Dr. Antonia Denise Gore Md NPPES

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

DR. ANTONIA DENISE GORE MD (NPI 1881587269) is an individual student in an organized health care education/training program in Yuma, Arizona, licensed in Arizona (R82030) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881587269
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ANTONIA DENISE GORECredential: MD
Location Address7200 E 31ST PLYuma, AZ 85365-8393
Mailing Address2400 S Avenue AYuma, AZ 85364-7127 · (928) 336-2090
Phone(928) 336-2090
Sole ProprietorYes
Enumeration DateJune 2, 2025
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1881587269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AZ · R82030
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License R82030 (AZ)
7200 E 31ST PL, Yuma, AZ 85365
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Dr. Antonia Denise Gore Md 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.

Other Providers at the Same Location NPPES 3

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

DR. CELESTINE IHEKAONYE OGWU MD
Student in an Organized Health Care Education/Training Program
7200 E 31ST PL
YUMA, AZ 85365
Yuma County (928) 336-2090
NATHAN LUBY MD
Student in an Organized Health Care Education/Training Program
7200 E 31ST PL
YUMA, AZ 85365
Yuma County (928) 336-2090
PANNA PATEL
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7200 E 31ST PL
YUMA, AZ 85365
Yuma County (928) 336-3555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonia Gore's NPI number?

The NPI number for Antonia Gore is 1881587269. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Antonia Gore located?

Antonia Gore practices at 7200 E 31st Pl, Yuma, AZ 85365. The listed phone number is (928) 336-2090.

What is Antonia Gore's specialty?

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

Is Antonia Gore enrolled in Medicare?

Yes. Antonia Gore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonia Gore was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.