Active NPI
John C Garrett, MD
- Anesthesiology Physician
- Pottsville, PA
National Provider Identifier
1053376798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 125394
- Practice address
- 420 S Jackson St
Pottsville, PA 17901-3625 - Phone
- (412) 937-5700
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
-
- Multi-Specialty Clinic/Center
- Syracuse, NY
- NPI 1861563561
-
- Anesthesiology Physician
- Jersey City, NJ
- NPI 1609926971
NPD (past) Anesthesiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125394 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holdings,LLC | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Roxbury Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125394 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
420 S Jackson St
Pottsville, PA 17901-3625
Mailing address
PO Box 35
Pittsburgh, PA 15230-0035
Phone (570) 647-4381
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006909690003 | Medicaid | PA | |
| P00862339 | Other | PA | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2010.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1053376798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152300035",
"telephone_number": "570-647-4381",
"fax_number": "770-666-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S JACKSON ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013625",
"telephone_number": "412-937-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "125394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006909690003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00862339",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.