Michael Ganzie

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.163856 Issued in OH

Practice address

2624 Lexington Ave
Springfield, OH 45505

Phone

(937) 328-5300

Fax

(937) 322-4900

NPI assigned

Nov 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1407368343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 LEXINGTON AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052620",
            "telephone_number": "937-328-5300",
            "fax_number": "937-322-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 LEXINGTON AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45505",
            "telephone_number": "937-328-5300",
            "fax_number": "937-322-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 East St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051109",
            "country_code": "US",
            "telephone_number": "937-328-5300",
            "fax_number": "937-322-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANZIE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.163856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B. Galluch, M.D.
• Lauren Gamberdella
• Cassandra Catherine Gammon, MSW
• Katlyn Gannon
• Gina Renee Gano, PA-C
• Sylvia Maria Garcia-Franklin
• Kiahna Garcia
• Kasi Marquette Gardner, MS, APRN, CNP
• Tarsem C Garg, MD
• Aisha B Gargom, MD

• Addiction (Substance Use Disorder) Counselor in Springfield, OH
• Providers in Springfield, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.