NPIMap

Organization Active NPI

Laura K Ganger, M.D. P.C.

Doing business as Ganger Dermatology

  • Dermatology Physician
  • Ann Arbor, MI
National Provider Identifier
1720347248
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LAURA K GANGER, M.D. P.C.
Doing business as
Ganger Dermatology
Practice address
1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone
(734) 344-4567
Fax
(734) 669-1104
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Laura K Ganger, M.D.NPI 1568671535
Title
President
Phone
(734) 717-0351

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 Primary

Addresses

Primary practice location

1979 Huron Pkwy
Ann Arbor, MI 48104-4141

Mailing address

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

Other names 1

  • Ganger Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121214000081 MI Part B Supplier - Clinic/Group Practice 0143472373 Receives reassigned benefits from 9 practitioners
Practice locations: Ann Arbor, MI; Plymouth, MI; Wixom, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2101783Ganger Dermatology1979 Huron Parkway, Ann Arbor, MI 48104ComplianceOct 30, 2026

National Provider Directory

National Provider Directory

Locations

7397 Solutions Ctr
Chicago, IL 60677

1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567

2301 S Huron Pkwy
Ste 1A
Ann Arbor, MI 48104
Phone (734) 669-1100

49200 Wixom Tech Dr
Wixom, MI 48393
Phone (734) 344-4567

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1720347248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044141",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044141",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA K GANGER, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GANGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-717-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ganger Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.