NPIMap

Organization Active NPI

Ganzer - Hahn Dermatology Associates, PLLC

Doing business as Ohio Valley Dermatology

  • Dermatology Physician
  • Wheeling, WV
National Provider Identifier
1548692197
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
992CW Issued in WV
Legal business name
GANZER - HAHN DERMATOLOGY ASSOCIATES, PLLC
Doing business as
Ohio Valley Dermatology
Practice address
2101 Chapline St
Wheeling, WV 26003-3875
Phone
(304) 233-3240
NPI assigned
Aug 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Dr. Gregory Ganzer, DONPI 1326163890
Title
Doctor
Phone
(304) 233-3240

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 992CW WV Primary

Addresses

Primary practice location

2101 Chapline St
Wheeling, WV 26003-3875

Mailing address

2101 Chapline St
Wheeling, WV 26003-3875
Phone (304) 233-3240

Other names 1

  • Ohio Valley Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131106000714 WV Part B Supplier - Clinic/Group Practice 1951536564 Receives reassigned benefits from 13 practitioners
Practice locations: Triadelphia, WV; Weirton, WV; Wheeling, WV; New Martinsville, WV
O20131219000133 OH Part B Supplier - Clinic/Group Practice 1951536564 Receives reassigned benefits from 14 practitioners
Practice locations: Cambridge, OH; Zanesville, OH; Steubenville, OH; East Liverpool, OH; Dover, OH; Barnesville, OH

National Provider Directory

National Provider Directory

Locations

100 Hospital Dr
Ste 206
Barnesville, OH 43713
Phone (740) 425-5221

100 Hospital Dr
Ste 1000
Barnesville, OH 43713

100 Hospital Dr
Ste 1001
Barnesville, OH 43713
Phone (740) 425-5221

899 E Iron Ave
Ste B
Dover, OH 44622

899 E Iron Ave
Ste D
Dover, OH 44622
Phone (330) 343-1205

15700 State Route 170
Ste A
East Liverpool, OH 43920
Phone (304) 232-7151

18 Acme St
Marietta, OH 45750

4100 Johnson Rd
Ste 201
Steubenville, OH 43952
Phone (740) 264-6845

2994 Maple Ave
Zanesville, OH 43701
Phone (304) 232-7151

299 N State Route 2
New Martinsville, WV 26155
Phone (304) 455-0350

300 Wharton Cir
Ste 180
Triadelphia, WV 26059
Phone (304) 547-0007

300 Wharton Cir
Triadelphia, WV 26059
Phone (304) 822-6608

701 Colliers Way
Ste 701
Weirton, WV 26062
Phone (304) 914-4457

243 Three Springs Dr
Ste 19
Weirton, WV 26062

2101 Chapline St
Ste 200
Wheeling, WV 26003
Phone (304) 232-7151

2101 Chapline St
Wheeling, WV 26003
Phone (304) 232-7151

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1548692197",
    "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": "260033875",
            "telephone_number": "304-233-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033875",
            "telephone_number": "304-233-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANZER - HAHN DERMATOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "GANZER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-233-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WV",
            "license": "992CW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Valley Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.