Individual provider Active NPI

Wayne Oliver Ghans, M.D.

  • Family Medicine Physician
  • Three Rivers, TX
National Provider Identifier
1124099007
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7739 Issued in TX
Practice address
105 E Thornton
Three Rivers, TX 78071
Phone
(361) 786-3618
Fax
(361) 786-3649
NPI assigned
Jan 30, 2006
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42019 CO
Family Medicine Physician 207Q00000X H7739 TX Primary

Addresses

Primary practice location

105 E Thornton
Three Rivers, TX 78071

Mailing address

310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42019COMDFamily Medicine Physician
H7739TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1124099007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W OAKLAWN RD",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644033",
            "telephone_number": "830-569-8940",
            "fax_number": "830-569-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E THORNTON",
            "city": "THREE RIVERS",
            "state": "TX",
            "postal_code": "78071",
            "telephone_number": "361-786-3618",
            "fax_number": "361-786-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANS",
        "first_name": "WAYNE",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.