Individual provider Active NPI

Christopher Garner, PA

  • Medical Physician Assistant
  • Springfield, MO
National Provider Identifier
1063519874
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2004014084 Issued in MO
Practice address
1530 E Republic Rd
Springfield, MO 65804-6530
Phone
(417) 269-1362
Fax
(417) 269-1372
NPI assigned
Sep 20, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2004014084 MO Primary

Addresses

Primary practice location

1530 E Republic Rd
Springfield, MO 65804-6530

Mailing address

3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-5712

Other identifiers 1

IdentifierTypeStateIssuer
190891OtherBLUE CROSS OF MO

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients
Lester E. Cox Medical Centers PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1063519874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE",
            "address_2": "#540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075209",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046530",
            "telephone_number": "417-269-1362",
            "fax_number": "417-269-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2004014084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "190891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.