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EDWARD W GANELLEN MD
NPI 1164414017
Internal Medicine - Interventional Cardiology in Salt Lake City, UT

Active since August 17, 2005
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 288-4444 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward W Ganellen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD W GANELLEN MD (NPI 1164414017) is an individual interventional cardiology provider in Salt Lake City, Utah, licensed in Utah (187176-1205) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1164414017
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameEDWARD W GANELLENCredential: MD
Location Address1160 E 3900 S, SUITE 2000Salt Lake City, UT 84124-1202
Mailing Address1160 E 3900 S, Suite 2000Salt Lake City, UT 84124-1202 · (801) 266-3418 · Fax (801) 288-4444
Phone(801) 266-3418
Fax(801) 288-4444
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1164414017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in UT · 187176-1205
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 187176-1205 (UT)
1160 E 3900 S, Salt Lake City, UT 84124
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Other Identifiers 2

Medicare UPINF28166
Medicare PINU000075633

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES S ZEBRACK MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. KELLY RAMSAY O'NEAL III MD, MS
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. JEFFREY G RANDLE MD
Physical Medicine & Rehabilitation
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
KENNETH G NIELSON MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. MINA GOHARI M.D.
Family Medicine
1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7766
JAMES JOSEPH CHAMBERLAIN MD
Internal Medicine
1160 E 3900 S, SUITE 1200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 261-9651
PAWAN K SHARMA MD
Nuclear Medicine (Nuclear Cardiology)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
STEPHEN G ROPER PA
Physician Assistant
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Ganellen's NPI number?

The NPI number for Edward Ganellen is 1164414017. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Edward Ganellen located?

Edward Ganellen practices at 1160 E 3900 S Suite 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Edward Ganellen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Edward Ganellen was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.