Jayanthi Ganesan, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAYANTHI GANESAN, M.D., P.C.

Practice address

4242 Farnam St
#142
Omaha, NE 68131-2806

Phone

(402) 552-2212

Fax

(402) 552-2263

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Jayanthi Ganesan, M.D.

Title

MD/President

Phone

(402) 552-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1023027240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540367",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681540367",
            "telephone_number": "402-552-2212",
            "fax_number": "402-552-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "#142",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2212",
            "fax_number": "402-552-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYANTHI GANESAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "GANESAN",
        "authorized_official_first_name": "JAYANTHI",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "402-552-2212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025027500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jay Burr Inc
• Kristi A. Jay, APRN
• Dinushi Jayasekara
• Anita C Jaynes, CNM
• Jamie Lorraine Jazwick-Jakob, PT, ATC
• JCB Therapy LLC
• JDB Counseling Service Inc

• Internal Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.