Active NPI
Alfred G Garcia, M.D.
- Emergency Medicine Physician
- Columbia, MO
National Provider Identifier
1356481048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2004003089
- Practice address
- 2612 Hillshire Dr
Columbia, MO 65203-1578 - Phone
- (573) 445-2303
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2004003089 | MO | Primary |
| Emergency Medicine Physician | 207P00000X | IL |
Addresses
Primary practice location
2612 Hillshire Dr
Columbia, MO 65203-1578
Mailing address
2612 Hillshire Dr
Columbia, MO 65203-1578
Phone (573) 445-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-092349 | IL | MD | Emergency Medicine Physician |
| 2004003089 | MO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356481048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 HILLSHIRE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031578",
"telephone_number": "573-445-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 HILLSHIRE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031578",
"telephone_number": "573-445-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ALFRED",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2004003089",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.