Ew Garland M.D. PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M5926 Issued in ID

Legal business name

EW GARLAND M.D. PA

Doing business as

Idaho Falls Neurology

Practice address

3920 Washington Pkwy
Idaho Falls, ID 83404-7596

Phone

(208) 227-0158

Fax

(208) 227-0159

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ew Garland, M.D. PA

Title

Owner

Phone

(208) 227-0158

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Idaho Falls Neurology Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erich W Garland, MD PA

  • Neurology Physician
  • Idaho Falls, ID
  • NPI 1689664724
  Medicare reassignment NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1043417397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-227-0158",
            "fax_number": "208-227-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-227-0158",
            "fax_number": "208-227-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EW GARLAND M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "EW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-227-0158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M5926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002744200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG4654",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Falls Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Neurology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.