Ella Gorgan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

193-140 Issued in WI

Practice address

36100 Genesee Lake Rd
Oconomowoc, WI 53066-9201

Phone

(262) 470-4544

NPI assigned

Mar 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851752851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N114W15928 SYLVAN CIR APT 210",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 GENESEE LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669201",
            "telephone_number": "262-470-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8239 W Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530973205",
            "country_code": "US",
            "telephone_number": "414-229-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8239 W Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530973205",
            "country_code": "US",
            "telephone_number": "414-229-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORGAN",
        "first_name": "ELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "193-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gershteyn, PHARM.D.
• Firas Ghanem, M.D.
• Karalyn Ginster
• Jeffery N Glaspy, MD
• Jose Antonio Gonzalez, DDS
• Karen Ihry Gould, D.C.
• Beth Ann Gramz, RDH
• Brittany Morgan Greig, MMT, CPT, MT
• Mark J Grevlich, DDS
• Tamara Grissman, PA-C

• Behavior Analyst in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.