DR. MARY L. GANZ


Address: 1290 Betsy Ross Ct, Brookfield, WI 53045-5362
Phone: 2627960203

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
29009 WI Allopathic & Osteopathic Physicians

Other Providers MARY GANZ

NPI Name Taxonomy Address Enumeration
1801299235 Mary Sara Ganz Occupational Therapist 5200 Aldine Dr, Blue Ash, OH 45242-6214 2014-09-30

Office Location

Street Address 1290 BETSY ROSS CT
City BROOKFIELD
State WI
Zip Code 53045-5362

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BROOKFIELD
Zip Code 53045

Improve Information

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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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