Individual provider Active NPI

John Herbert Evans, DO

  • Addiction Medicine (Family Medicine) Physician
  • Saginaw, MI
National Provider Identifier
1154509172
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
5101008000 Issued in MI
Practice address
508 Shattuck Rd
Saginaw, MI 48604-2329
Phone
(989) 752-7867
Fax
(989) 752-6830
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5101008000 MI
Addiction Medicine (Family Medicine) Physician 207QA0401X 5101008000 MI Primary

Addresses

Primary practice location

508 Shattuck Rd
Saginaw, MI 48604-2329

Mailing address

508 Shattuck Rd
Saginaw, MI 48604-2329
Phone (989) 752-7867

Other identifiers 1

IdentifierTypeStateIssuer
5304000283OtherMIDRUG TREATMENT PROGRAM PRESCRIBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000829 MI Practitioner - Addiction MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9830273911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101008000MIMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Clinical Services LLC CurrentSince Aug 3, 2009 Accepting new patients
Saginaw Valley Centers, Inc Past Accepting new patients

Locations

401 Howard St
Kalamazoo, MI 49001
Phone (269) 344-4458

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1154509172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042329",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042329",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "HERBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "5101008000",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5101008000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG TREATMENT PROGRAM PRESCRIBER",
            "identifier": "5304000283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.