Active NPI
Charles D Ganime DPM
- Durable Medical Equipment & Medical Supplies
- Winchester, TN
National Provider Identifier
1891964482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DPM0000000591
- Legal business name
- CHARLES D GANIME DPM
- Practice address
- 155 Hospital Rd
Suite I
Winchester, TN 37398-2494 - Phone
- (931) 968-9191
- Fax
- (931) 968-9081
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Charles D Ganime, D.P.M.
- Title
- Podiatrist
- Phone
- (931) 968-9191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Winchester, TN
- NPI 1861496853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043093 | TN | DME Supplier - Physician - Podiatry | 4385859321 | Practice locations: Winchester, TN |
National Provider Directory
National Provider DirectoryLocations
155 Hospital Rd
Ste I
Winchester, TN 37398
Phone (931) 968-9191
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DPM0000000591 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
155 Hospital Rd
Suite I
Winchester, TN 37398-2494
Mailing address
PO Box 702
Winchester, TN 37398-0702
Phone (931) 968-9191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2008.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1891964482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 702",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373980702",
"telephone_number": "931-968-9191",
"fax_number": "931-968-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 HOSPITAL RD",
"address_2": "SUITE I",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373982494",
"telephone_number": "931-968-9191",
"fax_number": "931-968-9081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES D GANIME DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "GANIME",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "931-968-9191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "DPM0000000591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.