Individual provider Active NPI

Eileen M Garavente, M.D.

  • Obstetrics & Gynecology Physician
  • Westminster, MD
National Provider Identifier
1003885948
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD071513L Issued in PA
Practice address
193 Stoner Avenue
Suite 300
Westminster, MD 21157
Phone
(410) 876-3355
Fax
(410) 876-3355
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0057370 MD
Obstetrics & Gynecology Physician 207V00000X MD071513L PA Primary

Addresses

Primary practice location

193 Stoner Avenue
Suite 300
Westminster, MD 21157

Mailing address

193 Stoner Avenue
Suite 300
Westminster, MD 21157
Phone (410) 876-3355

Other practice location 1

20 North St
Hanover, PA 17331-2275
Phone (717) 637-7755

Other identifiers 5

IdentifierTypeStateIssuer
30088134OtherAMERIHEALTH MERCY-WMG
039157300MedicaidMD
10254307MedicaidPA
30088199OtherPAAMERIHEALTH MERCY-YH
416566OtherPAUPMC-WMG

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egaravente88585@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050602000866 MD Practitioner - Obstetrics/Gynecology 8628011434 Reassigns benefits to 1 organization
I20110304000329 PA Practitioner - Obstetrics/Gynecology 8628011434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical Services 1,025 clinicians

Practice addresses (Care Compare)

20 N St
Hanover, PA 17331-3357
Phone (717) 316-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057370MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 20, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 20, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2018 Accepting new patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Harbor Hospital Past Accepting new patients
Upmc Hanover Past Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

20 North St
Hanover, PA 17331
Phone (717) 637-7755

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: egaravente288070@upmc.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1003885948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVENUE",
            "address_2": "SUITE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-876-3355",
            "fax_number": "410-848-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVENUE",
            "address_2": "SUITE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-876-3355",
            "fax_number": "410-876-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 North St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312275",
            "country_code": "US",
            "telephone_number": "717-637-7755",
            "fax_number": "717-637-7142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARAVENTE",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0057370",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD071513L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "30088134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039157300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10254307",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-YH",
            "identifier": "30088199",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC-WMG",
            "identifier": "416566",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egaravente88585@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "20 North St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.