Active NPI
Daniel Robert Garst, M.D.
- Psychiatry Physician
- Louisville, KY
National Provider Identifier
1083716534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25428
- Practice address
- 2120 Newburg Rd
Ste. 414
Louisville, KY 40205-1867 - Phone
- (502) 452-9597
- Fax
- (502) 429-3916
- NPI assigned
- Sep 4, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25428 | KY | Primary |
Addresses
Primary practice location
2120 Newburg Rd
Ste. 414
Louisville, KY 40205-1867
Mailing address
2120 Newburg Rd
Ste. 414
Louisville, KY 40205-1867
Phone (502) 452-9597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64254287 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071029000467 | KY | Practitioner - Psychiatry | 9638266299 | Practice locations: Prospect, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5036 Wolfpen Woods Dr
Prospect, KY 40059-9196
Phone (502) 452-9597
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25428 | KY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083716534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 NEWBURG RD",
"address_2": "STE. 414",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051867",
"telephone_number": "502-452-9597",
"fax_number": "502-429-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 NEWBURG RD",
"address_2": "STE. 414",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051867",
"telephone_number": "502-452-9597",
"fax_number": "502-429-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARST",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "25428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64254287",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.