Samuel O'Garro, PA STUDENT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone

(762) 408-2605

NPI assigned

Sep 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1215411103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 RIVERCHASE DR APT 815",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677512",
            "telephone_number": "205-240-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GARRO",
        "first_name": "SAMUEL",
        "credential": "PA STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Nguyen, OD
• Brent Austin Nichol, DMD
• Koji Nishimura, M.D.
• Nereus Noshirwani
• Jennifer Nicole O'Connor, RN
• Autumn Marie Oakley, ATC
• Hannah Ohara
• Shaylee Olive, LICSW
• Optometry Clinic, Inc.
• Gustavo Ortiz, PTA

• Physician Assistant in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.