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GARRETT MEDICAL GROUP PA NPI 1487751608


NPI Information

NPI: 1487751608
Provider Name: GARRETT MEDICAL GROUP, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D2049482

Address:
311 N 4TH ST
OAKLAND, MD
ZIP 21550
Phone: (301) 334-8171
Get Directions

GARRETT MEDICAL GROUP, PA is a family medicine in Oakland, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARRETT MEDICAL GROUP, PA NPI is 1487751608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 N 4TH ST
OAKLAND, MD
ZIP 21550-395
Phone: (301) 334-8171
Fax: (301) 334-1807

The provider's authorized official is Robert C Boone .
The authorized official title is Administrator and has the following contact phone number (301) 334-8171.

The CLIA number assigned to this NPI record is 21D2049482 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/15/2007.


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
1207Q00000XFamily MedicineYes

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
1SO95MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
20006936000MEDICAIDWEST VIRGINIA
39317811MEDICARE PINWEST VIRGINIA

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: 5/5/2024

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