DR. JODI ANN GANLEY D.O. NPI 1295785533

NPI Information

NPI: 1295785533
Provider Name: DR. JODI ANN GANLEY, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
32255 NORTHWESTERN HWY
SUITE 130
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 723-5880
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DR. Jodi Ann Ganley, D.O. is a neurology psychiatry neurology in Farmington Hills, MI with 32 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jodi Ann Ganley, D.O. NPI is 1295785533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1992

The provider's business location address is:

32255 NORTHWESTERN HWY
SUITE 130
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 723-5880
Fax: (248) 723-5889

The NPI 1295785533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	5101011599	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295785533	MEDICAID	MICHIGAN
2	130F375610	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
3	G59080	MEDICARE UPIN	MICHIGAN
4	MI4989269	MEDICARE PIN	MICHIGAN
5	700H273300	OTHER	MICHIGAN	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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