Active NPI
Jill L Garland, PA-C
- Physician Assistant
- Boston, MA
National Provider Identifier
1124264130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5747
- Practice address
- 1 Boston Medical Center Place
Dowling One South
Boston, MA 02118 - Phone
- (617) 414-5481
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5747 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Center Place
Dowling One South
Boston, MA 02118
Mailing address
720 Harrison Ave # Dob503
Boston, MA 02118-2371
Phone (617) 414-5405
Other practice location 1
267 Grant St
Bridgeport Hospital, Department of Surgery
Bridgeport, CT 06610-2805
Phone (203) 384-3671
Other practice location 2
267 Grant St
Bridgeport Hospital, Department of Surgery
Bridgeport, CT 06610-2805
Phone (203) 384-3671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110116185A | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002047 | CT | MD | Social Worker |
| PA5747 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124264130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE # DOB503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CENTER PLACE",
"address_2": "DOWLING ONE SOUTH",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-5481"
}
],
"practiceLocations": [
{
"address_1": "267 Grant St",
"address_2": "Bridgeport Hospital, Department of Surgery",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102805",
"country_code": "US",
"telephone_number": "203-384-3671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Grant St",
"address_2": "Bridgeport Hospital, Department of Surgery",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102805",
"country_code": "US",
"telephone_number": "203-384-3671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARLAND",
"first_name": "JILL",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110116185A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.