Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104375765 Deactivated / Inactive NPI Female Practitioner

Sherry Lynn Ganzmann , LPN

Licensed Practical Nurse • Moraine, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sherry Ganzmann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2016
NPI Deactivation Date August 15, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Sherry Ganzmann, LPN was a registered Licensed Practical Nurse practicing in Moraine, OH. Throughout an active medical career spanning 6 years, Sherry Ganzmann provided care at the practice location at 3095 KETTERING BLVD until profile deactivation on 2022-08-15.

Practice Location & Contact Primary Location

Practice Address

3095 Kettering Blvd

Moraine, OH 454391983

Telephone 9372938300
Fax 9379131913
Associated Practice Facility / Clinic
🏢 South Community Inc Facility NPI 1639128176

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Moraine, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Moraine, OH (13034 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN100766

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Holly Vadnais

Case Manager/Care Coordinator

NPI 1003311515
Chadonn Cummings

Social Worker

NPI 1003342692
Elizabeth Liapis , LISW-SUPV

Social Worker - Clinical

NPI 1003350380

LISWSUPV

Kimberly Yates

Case Manager/Care Coordinator

NPI 1003456906
Stephanie Mccutcheon , BGS, QMHS

Case Manager/Care Coordinator

NPI 1003554874
Logan Bruno

Case Manager/Care Coordinator

NPI 1003671546

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 15, 2022

Record deactivated on August 15, 2022

NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2016

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

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Updated Business Mailing Address September 23, 2016

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

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Provider Name / Credentials Updated September 23, 2016

Recorded as SHERRY GANZMANN, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Licensed Practical Nurse (License #PN100766 in OH)

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Initial NPI Registration & Enumeration September 23, 2016

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: 1104375765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2016
Last Update: September 23, 2016
Deactivation Date: August 15, 2022

Mailing Address

3095 Kettering Blvd

Moraine, OH 454391983

Phone: 9372938300

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.