Active NPI
John G Ganske, M.D.
- Plastic Surgery Physician
- West Des Moines, IA
National Provider Identifier
1316926181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 24063
- Practice address
- 6000 University Ave
Suite 400
West Des Moines, IA 50266-8203 - Phone
- (515) 265-4414
- Fax
- (515) 265-4486
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 24063 | IA | Primary |
Addresses
Primary practice location
6000 University Ave
Suite 400
West Des Moines, IA 50266-8203
Mailing address
6000 University Ave
Suite 400
West Des Moines, IA 50266-8203
Phone (515) 265-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215087 | Medicaid | IA |
Other names 1
- Dr. Greg Ganske
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24063 | IA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1316926181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "SUITE 400",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668203",
"telephone_number": "515-265-4414",
"fax_number": "515-265-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "SUITE 400",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668203",
"telephone_number": "515-265-4414",
"fax_number": "515-265-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANSKE",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IA",
"license": "24063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215087",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GREG",
"last_name": "GANSKE",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.