DR. MARY L. GANZ (NPI# 1912929803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912929803 |
Entity Type | Individual |
Full Name | DR. MARY L. GANZ |
Credential | D.O. |
Practice Address |
1290 Betsy Ross Ct Brookfield WI 53045-5362 |
Practice Telephone | 2627960203 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2011-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29009 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801299235 | Mary Sara Ganz | Occupational Therapist | 5200 Aldine Dr, Blue Ash, OH 45242-6214 | 2014-09-30 |
Street Address |
1290 BETSY ROSS CT |
City | BROOKFIELD |
State | WI |
Zip Code | 53045-5362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
Find all providers in zip 53045 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306803408 | Nancy R. Haworth | Pediatrics | 17000 W North Ave, Suite 110e, Brookfield, WI 53005-4423 | 2006-05-01 |
1801853387 | Elmbrook Pediatrics | Pediatrics | 17000 W North Ave, Suite 110e, Brookfield, WI 53005-4423 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801154000 | Kathryn E Gannon-loew | Pediatrics | 540 N 16th St, Milwaukee, WI 53233-2160 | 2012-04-25 |
1922392067 | Mary Guillot | Pediatrics | 999 N 92nd St Ste 460, Wauwatosa, WI 53226 | 2011-06-07 |
1144555178 | Katsumi Neeno | Pediatrics | 2341 Tradition Ln, Janesville, WI 53545-0723 | 2009-10-08 |
1588857841 | Leah W Mcavoy | Pediatrics | 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510 | 2007-08-21 |
1518165380 | Syed N Hasnain | Pediatrics | 1971 W Capitol Dr, Milwaukee, WI 53206-1909 | 2007-07-03 |
1629292206 | Thomas Henry Kowalski | Pediatrics | 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 | 2007-04-13 |
1164463261 | Pradeep Gopi Kumar | Pediatrics | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2006-06-09 |
1649221482 | Mary Susan Jay | Pediatrics | 8915 W Connell Ave, Milwaukee, WI 53226-3067 | 2006-05-15 |
1962478040 | Peter S Karofsky | Pediatrics | 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 | 2006-02-27 |
1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
Find all providers with the same taxonomy |
City | BROOKFIELD |
Zip Code | 53045 |
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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.