NPIMap

Organization Active NPI

William F. Ganz MD Facs PLLC

  • Neurological Surgery Physician
  • Coeur D Alene, ID
National Provider Identifier
1609909282
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M8313 Issued in ID
Legal business name
WILLIAM F. GANZ MD FACS PLLC
Practice address
2236 N Merrit Creek Loop
Suite a
Coeur D Alene, ID 83814-4960
Phone
(208) 664-5467
Fax
(208) 765-4696
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Ms. Luann Ganz
Title
Office Manager
Phone
(208) 664-5467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X M8313 ID Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2236 N Merrit Creek Loop
Suite a
Coeur D Alene, ID 83814-4960

Mailing address

2236 N Merrit Creek Loop
Suite a
Coeur D Alene, ID 83814-4960
Phone (208) 664-5467

Other identifiers 3

IdentifierTypeStateIssuer
DC5047OtherRR MEDICARE
8060855MedicaidID
8073659MedicaidID

National Provider Directory

National Provider Directory

Locations

2236 N Merritt Creek Loop
Coeur D Alene, ID 83814
Phone (208) 292-1372

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1609909282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 N MERRIT CREEK LOOP",
            "address_2": "SUITE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144960",
            "telephone_number": "208-664-5467",
            "fax_number": "208-765-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 N MERRIT CREEK LOOP",
            "address_2": "SUITE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144960",
            "telephone_number": "208-664-5467",
            "fax_number": "208-765-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. GANZ MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-664-5467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M8313",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC5047",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060855",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8073659",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.