GANZ ALLERGY & ASTHMA CENTER SC (NPI# 1013090901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013090901 |
| Entity Type | Organization |
| Organization Name | GANZ ALLERGY & ASTHMA CENTER SC |
| Practice Address |
1515 S Greenbay Rd Racine WI 53406-4409 |
| Practice Telephone | 2628846080 |
| Practice Fax Number | 2628846090 |
| Mailing Telephone | 2628846080 |
| Mailing Fax Number | 2628846090 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | CATHY J DEAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8004858640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Street Address |
1515 S GREENBAY RD |
| City | RACINE |
| State | WI |
| Zip Code | 53406-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689757569 | Great Lakes Dermatology | Dermatology | 1515 S Greenbay Rd, Racine, WI 53406-4409 | 2006-10-23 |
| 1467526400 | Kirsten J Antonneau | Physician Assistant | 1515 S Greenbay Rd, Racine, WI 53406-4409 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217052 | Michael A Ganz | Allergy & Immunology | 1515 S Green Bay Rd, Racine, WI 53406-4409 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700996576 | Philip M Marden Md Sc | Allergy & Immunology | 340 Summit Avenue, Oconomowoc, WI 53066-3747 | 2006-08-30 |
| 1528077971 | Amelia R Rojas | Allergy & Immunology | 1905 E Huebbe Parkway, Beloit Health System Inc, Beloit, WI 35311-1842 | 2006-08-05 |
| 1235175589 | Steven L Kagen | Allergy & Immunology | 100 W Lawrence St, Appleton, WI 54911-5773 | 2006-06-22 |
| 1124079033 | David A Edmondson | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-15 |
| 1194786350 | Allergy Associates of La Crosse, Ltd. | Allergy & Immunology | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2006-03-29 |
| 1992766067 | Pedro N Banda | Allergy & Immunology | 6030 W Capitol Dr, Milwaukee, WI 53216-2118 | 2006-03-29 |
| 1093708356 | Eun Young Kim | Allergy & Immunology | 296 Ohio St, Oshkosh, WI 54902-5825 | 2005-08-23 |
| 1538526785 | S&a Ringwala, S.c. | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2016-01-19 |
| 1295980019 | Waukesha Environmental Health | Allergy & Immunology | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-11-20 |
| 1376707307 | Mark J Biagtan | Allergy & Immunology | 20 S Park St, Madison, WI 53715 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
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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.