Dorothy J Ganick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

213481 Issued in MA

Practice address

628 Salem St
Lynnfield, MA 01940-2340

Phone

(781) 599-1998

NPI assigned

Jul 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Lynnfield Pediatrics, LLC

  • Primary Care Clinic/Center
  • Lynnfield, MA
  • NPI 1134615040
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003820317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAYMOND ST",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441614",
            "telephone_number": "781-599-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SALEM ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402340",
            "telephone_number": "781-599-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANICK",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "213481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilah Franco
• Donna Marie Frates
• Sam Fraulini
• Sierra Freedberg
• Jay Fregeau, PHARMD
• Alex Gelaides, RN
• Brenda Gharabegian
• Marina Nicole Gigliello
• Katherine Elizabeth Gilpatrick
• Mary Kay Gleeson, PH.D.

• Pediatrics Physician in Lynnfield, MA
• Providers in Lynnfield, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.