Kenneth Allen Ganapini, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

KG007283 Issued in MI

Practice address

2284 S Ballenger Hwy
Ste H
Flint, MI 48503-4653

Phone

(810) 233-5211

Fax

(810) 233-5740

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Preventive and Family Care Center of Genesee County PC

  • General Practice Physician
  • Flint, MI
  • NPI 1588633788
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1760451967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "STE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034653",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "STE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034653",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPINI",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "KG007283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5253980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Gamache, N.P.
• Sara Gambina
• Ashley Gammon
• Kristina Andrea Gammon
• Anusoumya Ganapathy, MD
• Balvant Kurji Ganatra, MD
• Gantos Chiropractic Center, P.C.
• David J Gantos, D.C.
• Andrew Garcia
• Arminda Garcia, LMSW

• General Practice Physician in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.