Active NPI
Gary A Ganzer, M.D.
- Procedural Dermatology Physician
- Wheeling, WV
National Provider Identifier
1033246814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 13638
- Practice address
- 58 16TH St
Wheeling, WV 26003-3660 - Phone
- (304) 234-1985
- Fax
- (304) 234-6539
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 13638 | WV | |
| Dermatopathology Physician | 207ND0900X | MD043359L | PA | |
| Procedural Dermatology Physician | 207NS0135X | 13638 | WV | Primary |
Addresses
Primary practice location
58 16TH St
Wheeling, WV 26003-3660
Mailing address
PO Box 31
Wheeling, WV 26003-0003
Phone (304) 234-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13638 | WV | MD | MOHS-Micrographic Surgery Physician |
| MD043359L | PA | MD | Dermatopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033246814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030003",
"telephone_number": "304-234-1985",
"fax_number": "304-234-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 16TH ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033660",
"telephone_number": "304-234-1985",
"fax_number": "304-234-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANZER",
"first_name": "GARY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WV",
"license": "13638",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "PA",
"license": "MD043359L",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "WV",
"license": "13638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.