Organization Active NPI

Ganz Allergy & Asthma Center SC

  • Allergy Physician
  • Racine, WI
National Provider Identifier
1013090901
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
GANZ ALLERGY & ASTHMA CENTER SC
Practice address
1515 S Greenbay Rd
Racine, WI 53406-4409
Phone
(262) 884-6080
Fax
(262) 884-6090
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Cathy J Dean
Title
Administrator
Phone
(800) 485-8640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

1515 S Greenbay Rd
Racine, WI 53406-4409

Mailing address

1515 S Greenbay Rd
Racine, WI 53406-4409
Phone (262) 884-6080

National Provider Directory

National Provider Directory

Locations

1515 S Green Bay Rd
Mount Pleasant, WI 53406
Phone (262) 653-5280

9555 76th St
#2600
Pleasant Prairie, WI 53158
Phone (262) 884-6080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1013090901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S GREENBAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064409",
            "telephone_number": "262-884-6080",
            "fax_number": "262-884-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S GREENBAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064409",
            "telephone_number": "262-884-6080",
            "fax_number": "262-884-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANZ ALLERGY & ASTHMA CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-485-8640"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.