NPIMap

Organization Active NPI

Balvant K Ganatra MD PC

  • Gastroenterology Physician
  • Flint, MI
National Provider Identifier
1659547099
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
BG040280 Issued in MI
Legal business name
BALVANT K GANATRA MD PC
Practice address
5154 Miller Rd
Suite a and B
Flint, MI 48507-1065
Phone
(810) 733-3570
Fax
(810) 733-0856
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mrs. Nola Maxine Massey
Title
Office Manager
Phone
(810) 733-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X BG040280 MI Primary

Addresses

Primary practice location

5154 Miller Rd
Suite a and B
Flint, MI 48507-1065

Mailing address

5154 Miller Rd
Suite a and B
Flint, MI 48507-1065
Phone (810) 733-3570

Other identifiers 1

IdentifierTypeStateIssuer
1421393MedicaidMI

National Provider Directory

National Provider Directory

Locations

5154 Miller Rd
Ste A-B
Flint, MI 48507
Phone (810) 733-3570

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1659547099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "SUITE A AND B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-733-3570",
            "fax_number": "810-733-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "SUITE A AND B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-733-3570",
            "fax_number": "810-733-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALVANT K GANATRA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "NOLA",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-733-3570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "BG040280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.