Organization Active NPI

Charles D Ganime DPM

  • Durable Medical Equipment & Medical Supplies
  • Winchester, TN
National Provider Identifier
1891964482
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DPM0000000591 Issued in TN
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
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Charles D Ganime, D.P.M.NPI 1861496853
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DPM0000000591 TN Primary

Addresses

Primary practice location

155 Hospital Rd
Suite I
Winchester, TN 37398-2494

Mailing address

PO Box 702
Winchester, TN 37398-0702
Phone (931) 968-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043093 TN DME Supplier - Physician - Podiatry 4385859321 Practice locations: Winchester, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.