INGRID GANSKE


Address: 330 Longwood Ave, Boston, MA 02115-5746
Phone: 6173551463

INGRID GANSKE (NPI# 1407098767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 330 LONGWOOD AVE
City BOSTON
State MA
Zip Code 02115-5746

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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