Joytiben Ganesh, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0002709 Issued in MD

Practice address

610 Solarex Court
Frederick, MD 21703

Phone

(301) 682-5500

Fax

(301) 663-8557

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolinas Cancer Care PA

  • Specialist
  • Charlotte, NC
  • NPI 1235126517
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407908007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX COURT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-663-6162",
            "fax_number": "301-694-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOLAREX COURT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-682-5500",
            "fax_number": "301-663-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "JOYTIBEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "PA53763",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gambrill'S Physical Therapy
• Gambrill'S Physical Therapy
• Angeline Chun Gan
• Geraldine Gan, DNP
• Irving Gan, O.D.
• Babak Ganjavian, DDS
• Colleen Gannon
• Jennifer S Gannon, PA
• Charlene Marie Gantt, CRNP PMH
• Jie Gao, M.D.

• Medical Physician Assistant in Frederick, MD
• Providers in Frederick, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.