NPIMap

Organization Active NPI

Richard W Ganzhorn MD PC

  • Specialist
  • Sault S Marie, MI
National Provider Identifier
1508057621
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RICHARD W GANZHORN MD PC
Practice address
511 Osborn Blvd
Sault S Marie, MI 49783-1850
Phone
(906) 632-4740
Fax
(906) 632-6505
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Richard W Ganzhorn, MDNPI 1093777336
Title
President
Phone
(906) 632-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MI Primary

Addresses

Primary practice location

511 Osborn Blvd
Sault S Marie, MI 49783-1850

Mailing address

511 Osborn Blvd
Sault S Marie, MI 49783-1850
Phone (906) 632-4740

Other names 1

  • INTERNATIONAL ORTHOPEDICS AND SPORTS MEDICINE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

511 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 632-4740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1508057621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OSBORN BLVD",
            "city": "SAULT S MARIE",
            "state": "MI",
            "postal_code": "497831850",
            "telephone_number": "906-632-4740",
            "fax_number": "906-632-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OSBORN BLVD",
            "city": "SAULT S MARIE",
            "state": "MI",
            "postal_code": "497831850",
            "telephone_number": "906-632-4740",
            "fax_number": "906-632-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W GANZHORN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GANZHORN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-632-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERNATIONAL ORTHOPEDICS AND SPORTS MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sault S Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.