CHARLES O GARRISON MD NPI 1366441156

NPI Information

  • NPI: 1366441156
  • Provider Name: CHARLES O GARRISON, MD
  • Classification: Emergency Medicine - 207PE0005X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • Address: 1125 W ALAMEDA RD
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 237-1151

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NPI Details

Charles O Garrison, MD is an undersea and hyperbaric medicine emergency medicine in Pocatello, ID. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Charles O Garrison, MD NPI is 1366441156. 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:

1125 W ALAMEDA RD
POCATELLO, ID
ZIP 83201-143
Phone: (208) 237-1151
Fax: (208) 237-9721

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/13/2007.

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
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineM3488IDAHOYes

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
1E95384MEDICARE UPINIDAHO
21138514MEDICARE ID-TYPE UNSPECIFIEDIDAHO

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: 3/30/2025

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