DR. MAYNARD ERNEST GARRETT M.D. NPI 1275552986

NPI Information

NPI: 1275552986
Provider Name: DR. MAYNARD ERNEST GARRETT, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
985 ROBERT BLVD STE 104
SLIDELL, LA
ZIP 70458
Phone: (985) 847-1995
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DR. Maynard Ernest Garrett, M.D. is a specialist in Slidell, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Maynard Ernest Garrett, M.D. NPI is 1275552986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

985 ROBERT BLVD STE 104
SLIDELL, LA
ZIP 70458-063
Phone: (985) 847-1995

The NPI 1275552986 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 7/19/2006 and was last updated on 2/7/2008.

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	174400000X	Specialist		12053	LOUISIANA	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	12053	OTHER	LOUISIANA	STATE LIC. NUMBER
2	1275552986	OTHER	LOUISIANA	NPI
3	AG6365111	OTHER	LOUISIANA	DEA NUMBER
4	51004	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
5	1139572	MEDICAID	LOUISIANA
6	B62748	MEDICARE UPIN	LOUISIANA

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: 11/14/2023

NPI Synchronization or Removal

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