NPIMap

Individual provider Active NPI

Donald Thomas Ganley, MD

  • Internal Medicine Physician
  • Ashland, VA
National Provider Identifier
1144297474
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101044754 Issued in VA
Practice address
201 N Washington Hwy
Suite 306
Ashland, VA 23005-1642
Phone
(804) 798-1092
Fax
(804) 798-1475
NPI assigned
Mar 6, 2006
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101044754 VA Primary

Addresses

Primary practice location

201 N Washington Hwy
Suite 306
Ashland, VA 23005-1642

Mailing address

201 N Washington Hwy
Suite 306
Ashland, VA 23005-1642
Phone (804) 798-1092

Other identifiers 1

IdentifierTypeStateIssuer
005862876MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000134 VA Practitioner - Internal Medicine 1052572070 Practice locations: Ashland, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 N Washington Hwy
Suite 306
Ashland, VA 23005-1644
Phone (804) 798-1092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101044754VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Internal Medicine, PLLC Internal Medicine CurrentSince Aug 20, 2001 Accepting new patients
Ashland Physical Therapy Associates Inc Past Accepting new patients

Locations

201 N Washington Hwy
Ste 306
Ashland, VA 23005
Phone (804) 798-1092

Organizations & group practices 2

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1144297474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY",
            "address_2": "SUITE 306",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051642",
            "telephone_number": "804-798-1092",
            "fax_number": "804-798-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY",
            "address_2": "SUITE 306",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051642",
            "telephone_number": "804-798-1092",
            "fax_number": "804-798-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101044754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005862876",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.