Garrett Medical Group, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

21D0220145 Issued in MD

Legal business name

GARRETT MEDICAL GROUP, PA

Practice address

311 N 4TH St
Oakland, MD 21550-1371

Phone

(301) 334-8171

Fax

(301) 334-1819

NPI assigned

Feb 16, 2015

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhonda F Wolfe

Title

Office Manager

Phone

(301) 334-7420

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Garrett Medical Group Lab Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1053702894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-8171",
            "fax_number": "301-334-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-8171",
            "fax_number": "301-334-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-334-7420"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0220145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788711600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrett Medical Group Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garrett County Memorial Hospital
• Garrett County Memorial Hospital (Garrett Regional Medical Center)
• Garrett County Partnership for Children and Families, Inc.
• Garrett County Personal Health
• Garrett County Substance Abuse
• Garrett Medical Group, PA
• Garrett Medical Transport, Inc.
• Garrett Orthopedic Physical Therapy & Rehabilitation LLC
• Garrett Orthopedic Physical Therapy & Rehabilitation, LLC
• Garrett Rehab Services, LLC

• Clinical Medical Laboratory in Oakland, MD
• Providers in Oakland, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.