Mary Moenich Garcia, PA

Key facts

NPI

1073979100

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

50.004508RX (OH)

Practice address

111 S Grant Ave Ste 350
Columbus, OH 43215-4701

Phone

(614) 566-9160

Fax

(614) 566-8392

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Ohiohealth Corporation Family Medicine Physician · Columbus, OH · NPI 1578545273
  Medicare reassignment Care Compare group OH
• Mercy Medical Partners Northern Region LLC Multi-Specialty Clinic/Center · Defiance, OH · NPI 1669756532
  Medicare reassignment OH
• Mercy Medical Partners Northern Region LLC Durable Medical Equipment & Medical Supplies · Napoleon, OH · NPI 1710405808
  NPD
• Ohiohealth Corporation Anesthesiology Physician · Columbus, OH · NPI 1407292105
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohiohealth Corporation General Acute Care Hospital · Columbus, OH · NPI 1255377149
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohiohealth Corporation (2,295 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant Medical Center Hospital · Columbus, OH · CCN 360017

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Mary Moenich Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2019.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1073979100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE STE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9160",
            "fax_number": "614-566-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARY",
        "middle_name": "MOENICH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07987",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004508RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MOENICH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

• Jazmine Garcia
• Judith Garcia, MSN, APRN, CNP
• Katrina Rita Garcia, LPN
• Lalitha Garcia
• Leslie Garcia
• Matthew Garcia
• Patricia Christine Garcia, D.O.
• Roger Garcia, D.O.
• Stefanie Garcia
• Steven Earl Garcia, RN

All providers in Columbus, OH · Physician Assistant in Ohio