Jaime Ganc, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E0925 Issued in TX

Practice address

6776 Southwest Fwy
Ste 630
Houston, TX 77074-2107

Phone

(713) 524-0058

Fax

(713) 524-8584

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment NPD
• Yvonne Augustine

  dba Multi Cultural Counseling Services

  • Family Medicine Physician
  • Humble, TX
  • NPI 1679668560
  NPD (past) Authorized official
• Samantha J Vigneri

  dba Comprehensive Therapies and Services

  • Social Worker
  • Hempstead, TX
  • NPI 1073617684
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1932294659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "STE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-524-0058",
            "fax_number": "713-524-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "STE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-524-0058",
            "fax_number": "713-524-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANC",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E0925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238149-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ay Mey Gan, D.D.S.
• Qiong Gan, M.D.
• Samuel Gan, M.D.
• Tong Gan, M.D.
• Nautam B Ganatra, MD
• Farhana Ganchi, PA-C
• Elizabeth Ganci I
• Elizabeth Gandarilla, MRC, CRC
• Ganden Hospice LLC
• McKenzie Ganders

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.