Active NPI
William Garretson, D.O.
- Vascular Surgery Physician
- Foley, AL
National Provider Identifier
1306842570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- DO208
- Practice address
- 1613 N McKenzie St
Foley, AL 36535-2247 - Phone
- (251) 949-3920
- Fax
- (251) 949-3930
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DO208 | AL | |
| Surgical Critical Care Physician | 2086S0102X | DO208 | AL | |
| Vascular Surgery Physician | 2086S0129X | DO208 | AL | Primary |
Addresses
Primary practice location
1613 N McKenzie St
Foley, AL 36535-2247
Mailing address
2935 Thousand Oaks
Suite 294
San Antonio, TX 78247-3316
Phone (210) 494-1100
Other practice location 1
1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051099973 | Other | AL | BLUE CROSS/BLUE SHIELD |
| 88588 | Other | AL | HEALTH PARTNERS |
| 000099973 | Medicaid | AL | |
| 020047703 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080221000438 | AL | Practitioner - General Surgery | 5092899567 | Practice locations: Foley, AL |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 421-0520
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1120 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO208 | AL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Surgery, PC | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Foley, AL
- NPI 1538345681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Foley
- Home Health Agency
- Foley, AL
- NPI 1013975572
-
dba Thomas Hospital
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306842570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 THOUSAND OAKS",
"address_2": "SUITE 294",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473316",
"telephone_number": "210-494-1100",
"fax_number": "210-494-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247",
"telephone_number": "251-949-3920",
"fax_number": "251-949-3930"
}
],
"practiceLocations": [
{
"address_1": "1613 N McKenzie St",
"address_purpose": "LOCATION",
"city": "Foley",
"state": "AL",
"postal_code": "365352247",
"country_code": "US",
"telephone_number": "251-949-3920",
"fax_number": "251-949-3930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETSON",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "DO208",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "AL",
"license": "DO208",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "DO208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "051099973",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "88588",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000099973",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020047703",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.