O Boyd Gardo Jr., ANAPLASTOLOGIST

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

803 N Fant St
Anderson, SC 29621-5707

Phone

(864) 226-3006

Fax

(864) 845-5034

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Otis Boyd Gardo Jr

  • Customized Equipment (DME)
  • Greenville, SC
  • NPI 1093983215
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1164489191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COOL MEADOWS DR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296738941",
            "telephone_number": "864-226-3006",
            "fax_number": "864-845-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215707",
            "telephone_number": "864-226-3006",
            "fax_number": "864-845-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDO",
        "first_name": "O",
        "middle_name": "BOYD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ANAPLASTOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2711",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Garabadian, DDS
• Garcia Unlimited of the Upstate, LLC
• Harvey Garcia, D.C.
• John M Gardner, COTA
• Justin Lee Gardo, PHARMD
• Karly Brianna Garmon, PMHNP-BC
• Tammy E Garren
• Arthur Shane Garrett, RN
• Randall Owen Garriott, M.D.
• Ashleigh T Garrison, FNP-BC

• Orthotic Fitter in Anderson, SC
• Providers in Anderson, SC by specialty
• Orthotic Fitter in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.