Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053805671 Individual Practitioner Male Practitioner

Jeremy Ganz , PA

Physician Assistant • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Jeremy Ganz, PA is a registered healthcare professional specializing in Physician Assistant in Clovis, NM. Practice services are available at 27TH SPECIAL OPERATIONS MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

27th Special Operations Medical Group
224 W D. L. Ingram Avenue, Bldg. 1408

Clovis, NM 88103

Telephone 3142268463

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Clovis, NM (865 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Miguel Serrano , PA-C

Physician Assistant

NPI 1710467220

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 22, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CLOVIS, NM 88103 (Tel: 3142268463)

📍
Updated Business Mailing Address January 22, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103

📍
Updated Practice Location December 05, 2023

Registered at 48TH MDG, RAF LAKENHEATH, APO, AE 09464 (Tel: 3142268463)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Military Health Care Provider

📍
Updated Practice Location April 02, 2021

Registered at 2050A 2ND ST SE, KIRTLAND AFB, NM 871172866 (Tel: 5058464576)

📍
Updated Business Mailing Address April 02, 2021

Registered at 2050A 2ND ST SE, KIRTLAND AFB, NM 871172866

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2021

Physician Assistant

NPI Profile Active June 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2018

Registered at 283 TWIN LAKES LN, DESTIN, FL 325412866 (Tel: 9203921263)

📍
Updated Business Mailing Address June 18, 2018

Registered at 283 TWIN LAKES LN, DESTIN, FL 325412866

👤
Provider Name / Credentials Updated June 18, 2018

Recorded as JEREMY GANZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration June 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053805671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2018
Last Update: January 22, 2024
Sole Proprietor: No

Mailing Address

27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408

Cannon Afb, NM 88103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.