Active NPI
Nicholas J Garcia, DO
- Family Medicine Physician
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS15833
- Practice address
- 900 Pine St Ste 111B
Englewood, FL 34223-4457 - Phone
- (941) 681-3333
- Fax
- (941) 681-3335
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1152 | NE | |
| Family Medicine Physician | 207Q00000X | OS15833 | FL | Primary |
Addresses
Primary practice location
900 Pine St Ste 111B
Englewood, FL 34223-4457
Mailing address
900 Pine St Ste 111B
Englewood, FL 34223-4457
Phone (941) 681-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
- Campbell County Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1152 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Family Medicine | Current | Accepting new patients |
| Coastline Surgical Group, PLLC | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| James Villotti MD PA | Family Medicine | Current | Accepting new patients |
Locations
900 Pine St
Ste 111B
Englewood, FL 34223
Phone (941) 786-0790
900 Pine St
#111B
Englewood, FL 34223
Phone (941) 474-0023
900 Pine St
Ste 127
Englewood, FL 34223
Phone (941) 475-2022
900 Pine St
Ste 111
Englewood, FL 34223
Phone (941) 460-1300
501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Interoperability endpoints
- nicholas.garcia.1@15244.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
Family Medicine
-
- Family Medicine Physician
- Englewood, FL
- NPI 1750682175
-
- Surgery Physician
- Englewood, FL
- NPI 1629708821
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
- Urology Physician
- Gillette, WY
- NPI 1932404084
-
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1063774149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PINE ST STE 111B",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"telephone_number": "941-681-3333",
"fax_number": "941-681-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PINE ST STE 111B",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"telephone_number": "941-681-3333",
"fax_number": "941-681-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "NICHOLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1152",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS15833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.