INGRID GANSKE (NPI# 1407098767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407098767 |
| Entity Type | Individual |
| Full Name | INGRID GANSKE |
| Credential | M.D. |
| Practice Address |
330 Longwood Ave Boston MA 02115-5746 |
| Mailing Address |
300 Longwood Ave Enders 123 Boston MA 02115-5724 |
| Practice Telephone | 6173551463 |
| Mailing Telephone | 6173551463 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD21076 | ME | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
262488 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
330 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326101288 | Paula G Fraenkel | Internal Medicine | 330 Longwood Ave, Beth Israel Deaconess Medical Center, Shapiro 9, Boston, MA 02115-5746 | 2006-12-19 |
| 1336516194 | Jennifer Terese Mcclelland | Nurse Practitioner | 330 Longwood Ave, Home Parenteral Nutrition, 4th Floor, Boston, MA 02115-5746 | 2015-08-27 |
| 1649575689 | Ester Awnetwant-esperon | Dietitian, Registered | 330 Longwood Ave, Boston, MA 02115-5746 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1013575091 | Jl Plastic Surgery, Inc. | Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2019-06-04 |
| 1083176978 | Kimberly Khouri | Surgery | 75 Francis St, Boston, MA 02115-6110 | 2019-04-01 |
| 1568924389 | Tal Kaufman Goldberg | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-04-01 |
| 1316421852 | Emma Peditto | Surgery | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2018-09-20 |
| 1902338460 | University of Virginia | Surgery | 15 Parkman St, Boston, MA 02114-3117 | 2017-04-03 |
| 1811339120 | Oren Ganor | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-07-28 |
| 1902243579 | Eleanor Tomczyk | Surgery | 15 Parkman St, Wang 435, Boston, MA 02114-3117 | 2013-05-23 |
| 1902249634 | Daniel Michael Balkin | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-04-11 |
| 1093060642 | Mohamed Amir Mrad | Surgery | 55 Fruit St, Department of Plastic Surgery, Boston, MA 02114-2621 | 2012-07-19 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.