GARRETT SURGICAL GROUP, P.A. (NPI# 1811025653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811025653 |
Entity Type | Organization |
Organization Name | GARRETT SURGICAL GROUP, P.A. |
Practice Address |
255 N 4th St Ste 2 Oakland MD 21550-1340 |
Practice Telephone | 3013348282 |
Practice Fax Number | 3013348468 |
Mailing Telephone | 3013348282 |
Mailing Fax Number | 3013348468 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-02-10 |
Authorized Official Name | DR. CHARLES A. WALCH (PRESIDENT) |
Authorized Official Telephone | 3013348282 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | D47925 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | MWA | 1395892 | 01 |
MD | CAREFIRST BCBS | H814GA | 01 |
MD | BLACK LUNG | 260066 | 01 |
MD | BCBS | H814GA | 01 |
PA | BCBS | 413716 | 01 |
MD | BLUE CHOICE | S3300000 | 01 |
MD | 205900200 | 05 | |
MD | TRIGON BCBS | 330396 | 01 |
DC | MEDICAID | 022248500 | 01 |
DC | WELFARE | 0499579 | 01 |
Street Address |
255 N 4TH ST STE 2 |
City | OAKLAND |
State | MD |
Zip Code | 21550-1340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
Find all providers in zip 21550 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743345 | Osita Health Clinic | Clinic/Center | 2521 Seminary Ave Ste 1, Oakland, CA 94605-1307 | 2019-01-04 |
1417440959 | Perkins-mazor Chiropractic, Inc. | Clinic/Center | 3201 Macarthur Blvd, Oakland, CA 94602-3819 | 2018-06-09 |
1760981617 | East Bay Acupuncture | Clinic/Center | 440 Grand Ave Ste 401, Oakland, CA 94610-5032 | 2018-02-06 |
1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
1972904183 | International Center for Integrative Medicine | Clinic/Center | 3824 Macarthur Blvd, Oakland, CA 94619-1315 | 2014-09-07 |
1538431432 | Preventive Care Pathways | Clinic/Center | 5709 Market St Ste A, Oakland, CA 94608-2811 | 2012-02-08 |
1497033088 | Oakland Acupuncture Project, Inc. | Clinic/Center | 3576 Laurel Ave, Oakland, CA 94602-3841 | 2011-07-29 |
1689825366 | The West Oakland Health Council | Clinic/Center | 2730 Adeline Street, Oakland, CA 94607 | 2008-10-01 |
1235301524 | Healthy Communities, Incorporated | Clinic/Center | 2580 San Pablo Ave, Oakland, CA 94612-1160 | 2008-03-27 |
1295878825 | Anita Keswani | Clinic/Center | 6955 Foothill Blvd, Suite 200, Oakland, CA 94605-2409 | 2007-02-14 |
Find all providers in OAKLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.