Gregory Ganzer, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1159 Issued in WV

Practice address

2101 Chapline St
Wheeling, WV 26003-3855

Phone

(304) 233-3240

Fax

(304) 233-4176

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Philadelphia College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ganzer - Hahn Dermatology Associates, PLLCGroup PAC ID 1951536564, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ganzer - Hahn Dermatology Associates, PLLC

  dba Ohio Valley Dermatology

  • Dermatology Physician
  • Wheeling, WV
  • NPI 1548692197

  OH

  Medicare reassignment Care Compare group NPD Authorized official

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

• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326163890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033855",
            "telephone_number": "304-233-3240",
            "fax_number": "304-233-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033855",
            "telephone_number": "304-233-3240",
            "fax_number": "304-233-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZER",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "1159",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34005620",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS006564L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889865",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042262000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnae Nicole Galberth
• Debra Galbreath, NP
• Dorenda Gallaher
• Ganzer - Hahn Dermatology Associates, PLLC (Ohio Valley Dermatology)
• Gary A Ganzer, M.D.
• Michael Garman, ATC,PTA
• Daniel J Garrison
• Gary S Deguzman, M.D., Inc
• Leanne Gasbarro, PA-C
• Frank Gaudio, MD

• Dermatology Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.