Ganka Spassova MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GANKA SPASSOVA MD PLLC

Practice address

1307 Ford Ave
Wyandotte, MI 48192-3823

Phone

(734) 284-6338

Fax

(734) 282-7390

NPI assigned

Dec 19, 2012

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ganka Spassova, MDNPI 1053520148

Title

Sole Member

Phone

(734) 284-6338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ganka Anguelova Spassova, M.D.

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1053520148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1255677266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18770 FARMINGTON RD",
            "address_2": "SUITE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523292",
            "telephone_number": "734-284-6338",
            "fax_number": "734-293-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923823",
            "telephone_number": "734-284-6338",
            "fax_number": "734-282-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANKA SPASSOVA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "SPASSOVA",
        "authorized_official_first_name": "GANKA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "734-284-6338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riteesh Babu Gajjela, M.D
• Karen Rose Gallagher, ATC
• Balbir Gandhi, MD
• Nitin Gandhi, D.O.
• Ravinder Gandhi, M.D.
• Alyssa Crystal Gappy, D.O.
• Juan B Garbinski, LMSW
• Amanda Garcia
• Laura Garcia, DO, MPH
• Arshya Garg

• Family Medicine Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.