Active NPI
Michele Rose Ganschow
- Specialist
- Buffalo, NY
National Provider Identifier
1790285989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 753932
- Practice address
- 50 E North St
Buffalo, NY 14203-1002 - Phone
- (716) 885-8318
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 753932 | NY | Primary |
Addresses
Primary practice location
50 E North St
Buffalo, NY 14203-1002
Mailing address
45 Bradwood Rd
West Seneca, NY 14224-4221
Phone (716) 984-8393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753932 | Other | NY | PUBLIC SCHOOL TEACHER CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753932 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1790285989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 BRADWOOD RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142244221",
"telephone_number": "716-984-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANSCHOW",
"first_name": "MICHELE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "753932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC SCHOOL TEACHER CERTIFICATION",
"identifier": "753932",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.