Individual provider Active NPI

Mark Thomas Garan, AGACNP-BC

  • Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1154057032
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112744 Issued in WV
Practice address
243 Three Springs Dr Ste 5a
Weirton, WV 26062-3839
Phone
(740) 792-4220
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112744 WV Primary

Addresses

Primary practice location

243 Three Springs Dr Ste 5a
Weirton, WV 26062-3839

Mailing address

68 Finch Ave
Wheeling, WV 26003-2626
Phone (304) 224-8456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230713002422 PA Practitioner - Nurse Practitioner 1052771722 Reassigns benefits to 1 organization
I20230906002727 WV Practitioner - Nurse Practitioner 1052771722 Reassigns benefits to 1 organization
I20241101000354 OH Practitioner - Nurse Practitioner 1052771722

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Cardiac Arrhythmia IncGroup PAC ID 1951680800, 9 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3358

243 Three Springs Dr
Suite 5a
Weirton, WV 26062-3839
Phone (740) 792-4220

5202 Peach St
Erie, PA 16509-2420
Phone (814) 315-4520

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112744WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cardiac Monitoring, Inc PastSince Jul 31, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: markgaran@rcarr.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1154057032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FINCH AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032626",
            "telephone_number": "304-224-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 THREE SPRINGS DR STE 5A",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623839",
            "telephone_number": "740-792-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAN",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "112744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.