Mark C Garabedian

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101245096 Issued in VA

Practice address

6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4705

Phone

(804) 730-4690

Fax

(804) 559-0333

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgarabedian1151304@direct.bsmhealth.org

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.

• Bon Secours Memorial Regional Medical Center LLC

  • Specialist
  • Glen Allen, VA
  • NPI 1881795557

  Pediatrics

  Medicare reassignment NPD
• Bon Secours - Memorial Regional Medical Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1003451410
  NPD
• Bon Secours Memorial Regional Medical Center Inc

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1144529207
  NPD
• Bon Secours Memorial Regional Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1225263940
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1285792978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "SUITE 103",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-730-4690",
            "fax_number": "804-559-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "SUITE 103",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-730-4690",
            "fax_number": "804-559-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARABEDIAN",
        "first_name": "MARK",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1892751",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101245096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01443329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06193",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciro Galoppo
• Jennifer L Galvis, FNP-C
• Michael Gameel
• Divyangkumar K Gandhi, MD
• Geoffrey Gangloff, OTR/L
• Mark Anthony Gardner, DDS
• Kevin Garrett
• Richard Ted Garrett
• Jonathan P. Gaspar, M.D.
• Kierstan Ann Gastrock, DPT

• Pediatrics Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.