Individual provider Active NPI

Susan J Garrison, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1174505960
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
F8121 Issued in TX
Practice address
10021 S Main St
Main Medical Plaza, Suite B-1
Houston, TX 77025-5224
Phone
(713) 797-6000
Fax
(713) 797-9090
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X F8121 TX Primary

Addresses

Primary practice location

10021 S Main St
Main Medical Plaza, Suite B-1
Houston, TX 77025-5224

Mailing address

10021 S Main St
Main Medical Plaza, Suite B-1
Houston, TX 77025-5224
Phone (713) 797-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000273 TX Practitioner - Physical Medicine and Rehabilitation 1456305010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Angiocardiac Care of Texas P.a. Physical Medicine & Rehabilitation CurrentSince May 15, 2005 Accepting new patients

Locations

10021 Main St
Ste B1
Houston, TX 77025
Phone (713) 797-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1174505960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 S MAIN ST",
            "address_2": "MAIN MEDICAL PLAZA, SUITE B-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255224",
            "telephone_number": "713-797-6000",
            "fax_number": "713-797-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 S MAIN ST",
            "address_2": "MAIN MEDICAL PLAZA, SUITE B-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255224",
            "telephone_number": "713-797-6000",
            "fax_number": "713-797-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "F8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.