Douglas Paul Ganassi, MED - EX. SCI., ATC,

Athletic Trainer · West Mifflin, PA

Individual Active NPI

NPI number 1104188614

Practice location

1750 Clairton Road, Route 885
Ccac - South Campus
West Mifflin, PA 15122-3097
Phone
(412) 469-1100
Fax
(412) 469-6254

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NPI record

NPI
1104188614
Entity type
Individual (Type 1)
Enumeration date
June 11, 2012
Last updated
December 2, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X RT002222A PA
Athletic Trainer 2255A2300X AT000369 GA

Mailing address

800 Allegheny Avenue
Ccac
Pittsburgh, PA 15233-1895
Phone
(412) 237-3121
Fax
(412) 237-3135

About Douglas Ganassi

Douglas Paul Ganassi, MED - EX. SCI., ATC, is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1750 Clairton Road, Route 885, Ccac - South Campus, West Mifflin, PA 15122-3097. The NPI number 1104188614 was assigned on June 11, 2012 and the record was last updated on December 2, 2013.

Douglas Ganassi lists 2 licenses in the registry: #RT002222A (PA) for Athletic Trainer; #AT000369 (GA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas Paul Ganassi, MED - EX. SCI., ATC,?

The NPI number is 1104188614.

What is the phone number of Douglas Ganassi?

The phone number listed for the practice location is (412) 469-1100.

Where is Douglas Ganassi located?

1750 Clairton Road, Route 885, Ccac - South Campus, West Mifflin, PA 15122-3097.

What is the taxonomy code for Douglas Ganassi?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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