EVAN TANK DO NPI 1124316054

NPI Information

  • NPI: 1124316054
  • Provider Name: EVAN TANK, DO
  • Classification: Psychiatry & Neurology - 2084E0001X
  • Specialization: Epilepsy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 275 MICHIGAN ST NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 267-7900

Map and Directions

Get Directions

NPI Details

Evan Tank, DO is an epilepsy in Grand Rapids, MI with 14 years of experience. The provider is epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient. Evan Tank, DO NPI is 1124316054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2011

The provider's business location address is:

275 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503-531
Phone: (616) 267-7900
Fax: (616) 267-7901

The NPI 1124316054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional (HCPCS:95720)
  • Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional (HCPCS:95718)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/12/2011 and was last updated on 12/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology5101019162MICHIGANNo
22084E0001XPsychiatry & NeurologyEpilepsy5101019162MICHIGANYes
32084N0400XPsychiatry & NeurologyNeurology0102207882VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.