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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Locations

155 Hospital Rd
Ste I
Winchester, TN 37398
Phone (931) 968-9191

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

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.

Verify at the official NPI Registry.